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Results on function and safety of the Safyre-t, a hybrid transobturator vaginal sling for the treatment of stress urinary incontinence.

AbstractAIMS:
To examine the efficacy and safety of the Safyre-t vaginal sling.
METHODS:
108 women with a Safyre-t were invited for a gynecological follow up examination.
RESULTS:
79/108 patients showed up for an examination at 20 +/- 4 months 59.5% stated that they were subjectively dry. Vaginal sling erosion was found in 8.8% of the patients and a pre-erosive state in another 13.9%. The lateral silicone column could be palpated medial to the pubic bone in 47% of the patients indicating dislocation. 6/53 sexually active women complained of dyspareunia and one women stated that her partner had felt discomfort during sexual intercourse since her vaginal sling surgery.
CONCLUSIONS:
This study shows that despite high patient satisfaction and acceptable subjective continence rates, the Safyre-t was associated with a comparatively high rate of vaginal sling erosions and dislocations.
AuthorsStefanie Kuschel, Bernhard Schuessler
JournalNeurourology and urodynamics (Neurourol Urodyn) Vol. 27 Issue 5 Pg. 403-6 ( 2008) ISSN: 0733-2467 [Print] United States
PMID17985372 (Publication Type: Evaluation Study, Journal Article)
Chemical References
  • Polypropylenes
  • Silicones
Topics
  • Adult
  • Female
  • Humans
  • Obturator Nerve (surgery)
  • Patient Satisfaction
  • Polypropylenes
  • Prospective Studies
  • Quality of Life
  • Silicones
  • Suburethral Slings
  • Treatment Outcome
  • Urinary Incontinence, Stress (psychology, surgery)
  • Urologic Surgical Procedures
  • Vagina (surgery)

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