Abstract
Objective: The long-term efficacy of pubovaginal sling (PVS) procedure with porcine small intestinal submucosa (SIS) implant was retrospectively assessed. Study design: Forty-eight patients with SUI underwent a pubovaginal sling with SIS. Patient evaluation included history, physical examination with stress test and prolapse assessment by Baden-Walker classification, routine laboratory tests, 24 h-pad test, and multichannel urodynamic measurement. Postoperatively the patients were classified as cured, improved and unchanged or failed. A King's Health Questionnaire (KHQ) was performed to verify post-operatively the quality of life of these patients. Results: At median follow-up of 76 months 33/48 (69%) were cured, 6/48 (12%) were improved while 9/48 (19%) were failed or unchanged. No urinary retention or dyspareunia was reported and no vaginal erosion or adverse tissue reaction was detected. The descriptive statistics of KHQ scores by dimensions was done in 32/48 patients (67%). Failed or unchanged patients showed worse scores than cured and improved patients in all KHQ dimensions showing an overall overlapping between objective and subjective results although these findings are weakened due to the lack of a preoperative evaluation of QoL. Conclusions: PVS procedure using SIS cannot offer a durable option for the treatment of SUI as reported by the current mininvasive techniques.
| Original language | English |
|---|---|
| Pages (from-to) | 350-353 |
| Number of pages | 4 |
| Journal | European Journal of Obstetrics and Gynecology and Reproductive Biology |
| Volume | 158 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Oct 2011 |
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Keywords
- Long-term follow-up
- Porcine small intestinal submucosa
- Sling
- Stress urinary incontinence
ASJC Scopus subject areas
- Obstetrics and Gynaecology
- Reproductive Medicine
Cite this
Porcine small intestinal submucosa implant in pubovaginal sling procedure on 48 consecutive patients : Long-term results. / Siracusano, Salvatore; Ciciliato, Stefano; Lampropoulou, Nicolitza; Cucchi, Antonio; Visalli, Francesco; Talamini, Renato.
In: European Journal of Obstetrics and Gynecology and Reproductive Biology, Vol. 158, No. 2, 10.2011, p. 350-353.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Porcine small intestinal submucosa implant in pubovaginal sling procedure on 48 consecutive patients
T2 - Long-term results
AU - Siracusano, Salvatore
AU - Ciciliato, Stefano
AU - Lampropoulou, Nicolitza
AU - Cucchi, Antonio
AU - Visalli, Francesco
AU - Talamini, Renato
PY - 2011/10
Y1 - 2011/10
N2 - Objective: The long-term efficacy of pubovaginal sling (PVS) procedure with porcine small intestinal submucosa (SIS) implant was retrospectively assessed. Study design: Forty-eight patients with SUI underwent a pubovaginal sling with SIS. Patient evaluation included history, physical examination with stress test and prolapse assessment by Baden-Walker classification, routine laboratory tests, 24 h-pad test, and multichannel urodynamic measurement. Postoperatively the patients were classified as cured, improved and unchanged or failed. A King's Health Questionnaire (KHQ) was performed to verify post-operatively the quality of life of these patients. Results: At median follow-up of 76 months 33/48 (69%) were cured, 6/48 (12%) were improved while 9/48 (19%) were failed or unchanged. No urinary retention or dyspareunia was reported and no vaginal erosion or adverse tissue reaction was detected. The descriptive statistics of KHQ scores by dimensions was done in 32/48 patients (67%). Failed or unchanged patients showed worse scores than cured and improved patients in all KHQ dimensions showing an overall overlapping between objective and subjective results although these findings are weakened due to the lack of a preoperative evaluation of QoL. Conclusions: PVS procedure using SIS cannot offer a durable option for the treatment of SUI as reported by the current mininvasive techniques.
AB - Objective: The long-term efficacy of pubovaginal sling (PVS) procedure with porcine small intestinal submucosa (SIS) implant was retrospectively assessed. Study design: Forty-eight patients with SUI underwent a pubovaginal sling with SIS. Patient evaluation included history, physical examination with stress test and prolapse assessment by Baden-Walker classification, routine laboratory tests, 24 h-pad test, and multichannel urodynamic measurement. Postoperatively the patients were classified as cured, improved and unchanged or failed. A King's Health Questionnaire (KHQ) was performed to verify post-operatively the quality of life of these patients. Results: At median follow-up of 76 months 33/48 (69%) were cured, 6/48 (12%) were improved while 9/48 (19%) were failed or unchanged. No urinary retention or dyspareunia was reported and no vaginal erosion or adverse tissue reaction was detected. The descriptive statistics of KHQ scores by dimensions was done in 32/48 patients (67%). Failed or unchanged patients showed worse scores than cured and improved patients in all KHQ dimensions showing an overall overlapping between objective and subjective results although these findings are weakened due to the lack of a preoperative evaluation of QoL. Conclusions: PVS procedure using SIS cannot offer a durable option for the treatment of SUI as reported by the current mininvasive techniques.
KW - Long-term follow-up
KW - Porcine small intestinal submucosa
KW - Sling
KW - Stress urinary incontinence
UR - http://www.scopus.com/inward/record.url?scp=80053573417&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80053573417&partnerID=8YFLogxK
U2 - 10.1016/j.ejogrb.2011.06.012
DO - 10.1016/j.ejogrb.2011.06.012
M3 - Article
C2 - 21741749
AN - SCOPUS:80053573417
VL - 158
SP - 350
EP - 353
JO - European Journal of Obstetrics, Gynecology and Reproductive Biology
JF - European Journal of Obstetrics, Gynecology and Reproductive Biology
SN - 0028-2243
IS - 2
ER -