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Transvaginal mesh, also known as vaginal mesh implant, is a net-like surgical tool that is used to treat pelvic organ prolapse (POP) and stress urinary incontinence (SUI) among female patients. The surgical mesh is placed transvaginally to reconstruct weakened pelvic muscle walls and to support the urethra or bladder. [1] [2]
A urethral sling is a surgically implanted device that stabilizes pelvic tissues and organs of women. The surgery that implants this device can help treat urinary incontinence and uterine prolapse. An alternative treatment to the placement of the urethral sling is urethral bulking injections .
In surgery, a sling is an implant that is intended to provide additional support to a particular tissue. It usually consists of a synthetic mesh material in the shape of a narrow ribbon but sometimes a biomaterial (bovine or porcine) or the patient’s own tissue. The ends are usually attached to a fixed body part such as the skeleton.
Pelvic organ prolapse (POP) is characterized by descent of pelvic organs from their normal positions into the vagina. In women, the condition usually occurs when the pelvic floor collapses after gynecological cancer treatment, childbirth or heavy lifting. [ 2 ]
Less-invasive variants of the sling operation have been shown to be equally effective in treating stress incontinence as surgical sling operations. [15] One such surgery is urethropexy. [citation needed] Insertion of a sling through the vagina (rather than by opening the lower abdomen) is called intravaginal slingplasty (IVS). [medical citation ...
Lastly, a line from the pubic symphysis to the puborectalis muscle sling is drawn, which is a measurement of the pelvic floor hiatus. Measurements greater than 6 cm are considered mild, and greater than 10 cm severe. The degree of organ prolapse is assessed relative to the hiatus. The grading for organ prolapse relative to the hiatus is more ...
A comparative study among patients implanted with different models of artificial urinary sphincter and achieved social continence showed no difference between two groups in regards of urodynamic tests, such as flow rate, urethral pressure, etc. [2] A randomised controlled trial found that the artificial urinary sphincter was non-inferior to the ...
Midurethral sling; Pubovaginal sling; Mini sling; Surgical meshes have come to the public attention due to safety concerns with vaginal mesh used to treat pelvic organ prolapse, however, the urethral sling surgeries have been demonstrated to be highly effective with low risk of adverse events. [1]
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