Synthetic slings: which material, which approach.

Abstract:

PURPOSE OF REVIEW:The success in the use of the tension-free midurethral sling procedures (tension-free vaginal tape, suprapubic arch, transobturator tape) has dramatically altered the approach to the surgical management of stress urinary incontinence in women and marked a resurgence in the use of mesh. We will analyze the characteristics of synthetic meshes and explain the rationale for using monofilament materials with larger pore sizes. Thus, the purpose of this review is to introduce the surgeon to a variety of commercially available mesh materials and the characteristics that make mesh suitable for use as sling grafts. RECENT FINDINGS:Type I macroporous mesh materials appear most suitable for transvaginal implantation. Utilization of these materials in a minimally invasive retropubic or transobturator approach, promising early and intermediate follow-up data has been achieved. The outcome of these procedures in women with urethral hypermobility and genuine stress incontinence seems clear. No controlled data, however, exist to define the role of these procedures in difficult cases of stress incontinence. Newer generations of minimally invasive slings may offer treatment alternatives in these difficult cases. SUMMARY:Minimally invasive slings using Type I mesh materials are safe and effective. 'Hybrid' type slings may offer alternatives in difficult cases of stress urinary incontinence.

journal_name

Curr Opin Urol

authors

Roth CC,Holley TD,Winters JC

doi

10.1097/01.mou.0000232042.95427.9f

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

234-9

issue

4

eissn

0963-0643

issn

1473-6586

pii

00042307-200607000-00007

journal_volume

16

pub_type

杂志文章,评审
  • Premature ejaculation: the current literature.

    abstract:PURPOSE OF REVIEW:The recent increase in research with regard to premature ejaculation has led to a significant number of new papers looking at the diagnosis, definition, aetiology and management of this condition. RECENT FINDINGS:The intravaginal ejaculatory latency time remains the primary measure of ejaculatory tim...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000186844.40506.98

    authors: Wylie KR,Ralph D

    更新日期:2005-11-01 00:00:00

  • The prospect of gene therapy for prostate cancer: update on theory and status.

    abstract::Molecularly based novel therapeutic agents are needed to address the problem of locally recurrent, or metastatic, advanced hormone-refractory prostate cancer. Recent basic science advances in mechanisms of gene expression, vector delivery, and targeting have rendered clinically relevant gene therapy to the prostatic f...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200109000-00007

    authors: Koeneman KS,Hsieh JT

    更新日期:2001-09-01 00:00:00

  • Magnetic resonance imaging for urinary incontinence.

    abstract::Magnetic resonance imaging provides the most accurate, versatile and safe imaging of the pelvic floor. Images can be produced to show sections in any plane and even in three dimensions. The resolution is such that detail as good as that seen in histological sections is possible. Once standardization of data acquisitio...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200203000-00009

    authors: Stewart LH,Brush JP

    更新日期:2002-03-01 00:00:00

  • Bipolar transurethral resection of prostate: a new reference standard?

    abstract:PURPOSE OF REVIEW:Transurethral resection of prostate is the gold standard for the surgical management of benign prostate hyperplasia. Bipolar devices allow transurethral resection of prostate with saline irrigation, which lessens water intoxication and negates the need for diathermy pad and unwanted stimulation of the...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3282f194db

    authors: Ho HS,Cheng CW

    更新日期:2008-01-01 00:00:00

  • New innovative therapies for benign prostatic hyperplasia: any advance?

    abstract:PURPOSE OF REVIEW:Benign prostatic hyperplasia is the most common human neoplasm and it is the most frequent tumour requiring surgical treatment in men. Not surprisingly, interest centres on either understanding of prostatic growth during ageing or on various medical or interventional treatments. RECENT FINDINGS:Recen...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200301000-00003

    authors: Klingler HC

    更新日期:2003-01-01 00:00:00

  • Diagnosis of localized prostate cancer: 10 years of progress.

    abstract::Advances in the diagnosis of early stage disease, and particularly the introduction of prostate-specific antigen (PSA) testing, have had a dramatic effect on the presentation and clinical management of prostate cancer during the past ten years. As a result, there have been significant epidemiological changes in countr...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200007000-00006

    authors: Feneley MR,Partin AW

    更新日期:2000-07-01 00:00:00

  • Is robotic surgery cost-effective: yes.

    abstract:PURPOSE OF REVIEW:With the expanding use of new technology in the treatment of clinically localized prostate cancer (PCa), the financial burden on the healthcare system and the individual has been important. Robotics offer many potential advantages to the surgeon and the patient. We assessed the potential cost-effectiv...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32834d543f

    authors: Liberman D,Trinh QD,Jeldres C,Zorn KC

    更新日期:2012-01-01 00:00:00

  • Benign prostatic hyperplasia progression and its impact on treatment.

    abstract:PURPOSE OF REVIEW:Management of men with benign prostatic hyperplasia should reduce the lifetime risk of acute urinary retention and the need for benign prostatic hyperplasia-related surgery. A number of recent studies demonstrate that 5alpha-reductase inhibitors are unique in providing a long-term combination of impro...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200401000-00010

    authors: Djavan B,Waldert M,Ghawidel C,Marberger M

    更新日期:2004-01-01 00:00:00

  • Clinical decision-making for immunotherapy in metastatic renal cell carcinoma.

    abstract:PURPOSE OF REVIEW:To review the treatment options in metastatic renal cell carcinoma (mRCC) in the light of new immunotherapy results. RECENT FINDINGS:Second-line treatment strategies for treatment of mRCC after progression on first-line VEGF-targeted therapy have recently undergone a major change. Treatment guideline...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000456

    authors: Schmidinger M

    更新日期:2018-01-01 00:00:00

  • Pelvic floor reconstructive surgery: which aspects remain controversial?

    abstract:PURPOSE OF REVIEW:The article focuses on recently published original and review papers on current controversial aspects of pelvic reconstructive surgery. RECENT FINDINGS:A detailed Medline search was performed on records published in the previous 12 months. Controversial areas concerning which important work has been ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000250280.29743.54

    authors: Natale F,Weir JM,Cervigni M

    更新日期:2006-11-01 00:00:00

  • The use of preoperative targeted molecular therapy to allow nephron sparing for T1b tumors.

    abstract:PURPOSE OF REVIEW:To give insight into the current literature on feasibility, safety and outcome of presurgical targeted molecular therapies (TMTs) before nephron-sparing surgery (NSS) in patients with renal cell carcinoma. RECENT FINDINGS:Presurgical TMTs have been proven to be effective and well tolerated for patien...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32836320a7

    authors: Cost NG,Krabbe LM,Bagrodia A,Margulis V

    更新日期:2013-09-01 00:00:00

  • Residual stone fragments: clinical implications and technological innovations.

    abstract:PURPOSE OF REVIEW:To summarize the recent literature on the topic of residual stone fragments in particular novel developments in this field. RECENT FINDINGS:The urological position towards residual fragments has shifted in recent years from observation, to active retrieval with innovative methods, to algorithm-based ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000571

    authors: Suarez-Ibarrola R,Hein S,Miernik A

    更新日期:2019-03-01 00:00:00

  • Role of robot-assisted surgery for bladder cancer.

    abstract:PURPOSE OF REVIEW:To review the developments and current status of robot-assisted radical cystectomy (RARC) with pelvic lymphadenectomy (PLND) and urinary diversion for the treatment of bladder cancer. RECENT FINDINGS:RARC is growing steadily in 2008, and it is superseding pure laparoscopic radical cystectomy (LRC) at...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32831c50b4

    authors: Hemal AK

    更新日期:2009-01-01 00:00:00

  • Ileal neobladder in women with bladder cancer: cancer control and functional aspects.

    abstract:PURPOSE OF REVIEW:Radical cystectomy and urinary diversion is the accepted standard of care for invasive bladder cancer. Although orthotopic neobladder is the preferred method of urinary diversion in men, less experience is available for women. Recent studies and reports on this subject are summarized and reviewed. RE...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32834b31c4

    authors: Kübler H,Gschwend JE

    更新日期:2011-11-01 00:00:00

  • Factors affecting outcome in renal cell carcinoma.

    abstract:PURPOSE OF REVIEW:To review the latest status on prognostic factors in renal cell carcinoma (RCC). RECENT FINDINGS:Many predictive and prognostic factors can help differentiate between favorable and unfavorable RCC phenotypes. There currently exist several clinical and/or pathological, and biological factors, which ha...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32833c7b19

    authors: Sun M,Shariat SF,Karakiewicz PI

    更新日期:2010-09-01 00:00:00

  • Prediction of shockwave failure in patients with urinary tract stones.

    abstract:PURPOSE OF REVIEW:To evaluate recent developments in predicting the failure of shockwave lithotripsy when treating patients with urinary tract stones. RECENT FINDINGS:Although the features of patients with stones, as well as of the stones themselves, associated with refractoriness to shockwave lithotripsy are fairly w...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000193373.22318.68

    authors: Kim FJ,Rice KR

    更新日期:2006-03-01 00:00:00

  • Modern pharmacotherapy for erectile dysfunction: evolving concepts with central and peripheral acting agents.

    abstract::Pharmacotherapy for men experiencing erectile dysfunction has undergone dramatic advances over the past 5 years with the introduction of an effective oral agent. Sildenafil has increased the pool of couples seeking treatment for this important health issue as well as expanding the numbers of physicians treating it. Re...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200111000-00011

    authors: Brock GB,Bochinski D

    更新日期:2001-11-01 00:00:00

  • How well tolerated is supine percutaneous nephrolithotomy?

    abstract:PURPOSE OF REVIEW:Supine percutaneous nephrolithotomy (PCNL) has been described in 1988 and several modifications followed since. Despite claimed benefits, supine PCNL is still neglected by the majority of urologists. Lack of experience and the fear of complications are possible explanations for the resistance to supin...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000023

    authors: Baard J,Kamphuis GM,Westendarp M,de la Rosette JJ

    更新日期:2014-03-01 00:00:00

  • Current controversies in pediatric urologic robotic surgery.

    abstract:PURPOSE OF REVIEW:Minimally invasive surgeries such as conventional laparoscopic surgery and robotic assisted laparoscopic surgery (RALS) have significant advantages over the traditional open surgical approach including lower pain medication requirements and decreased length of hospitalization. However, open surgery ha...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32835b0ad2

    authors: Trevisani LF,Nguyen HT

    更新日期:2013-01-01 00:00:00

  • Renal cryotherapy: 2003 clinical status.

    abstract:PURPOSE OF REVIEW:Traditionally, curative therapy for most renal cancers involved open radical nephrectomy. However, as increased radiological monitoring has led to more incidentally discovered small renal masses, the optimal treatment has evolved. Nephron-sparing surgery, initially developed for patients with solitary...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200305000-00004

    authors: Lowry PS,Nakada SY

    更新日期:2003-05-01 00:00:00

  • Retroperitoneal versus transperitoneal robotic-assisted laparoscopic partial nephrectomy: a matched-pair, bicenter analysis with cost comparison using time-driven activity-based costing.

    abstract:PURPOSE OF REVIEW:To perform a bicenter, retrospective study of perioperative outcomes of retroperitoneal versus transperitoneal robotic-assisted laparoscopic partial nephrectomy (RALPN) and assess costs using time-driven activity-based costing (TDABC). We identified 355 consecutive patients who underwent RALPN at Univ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MOU.0000000000000483

    authors: Laviana AA,Tan HJ,Hu JC,Weizer AZ,Chang SS,Barocas DA

    更新日期:2018-03-01 00:00:00

  • Gene therapy for erectile dysfunction: where is it going?

    abstract:PURPOSE OF REVIEW:This review will summarize the most recent preclinical data from the leading US laboratories regarding the application of gene therapy to the treatment of erectile dysfunction. The implications of these findings in the field of gene therapy in general, and more specifically to the treatment of non-lif...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200211000-00010

    authors: Christ GJ

    更新日期:2002-11-01 00:00:00

  • Paediatric oncology.

    abstract::Recent research into paediatric urologic oncology has identified a number of certain subgroups of neuroblastoma and Wilms' tumour, which allows a more tailored treatment of the individual child with respect to treatment sequelae and finance issues. The importance of surgery, radiotherapy and cytostatic treatment has t...

    journal_title:Current opinion in urology

    pub_type: 杂志文章

    doi:10.1097/00042307-199811000-00007

    authors: Humpl T,Gutjahr P

    更新日期:1998-11-01 00:00:00

  • Reconstructive surgery of the upper urinary tract.

    abstract::This paper reviews the major publications over the past year regarding upper urinary tract reconstruction. Controversies in the diagnosis of ureteropelvic junction obstruction and in the surgical repair of the obstructed upper urinary tract are discussed. Special emphasis is placed on issues surrounding minimally inva...

    journal_title:Current opinion in urology

    pub_type: 杂志文章

    doi:10.1097/00042307-199805000-00004

    authors: Jayanthi VR

    更新日期:1998-05-01 00:00:00

  • Lymph node dissection for renal cell carcinoma: what are we missing?

    abstract:PURPOSE OF REVIEW:The role of lymph node dissection (LND) is uncertain for patients diagnosed with renal cell carcinoma (RCC). The aim of the current review is to discuss the available literature considering the role and the impact of LND in RCC patients elected for surgical treatment. Controversies, uncertainties as w...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000312

    authors: Moschini M,Dell'Oglio P,Larcher A,Capitanio U

    更新日期:2016-09-01 00:00:00

  • Evaluation of lower urinary tract symptoms in females.

    abstract:PURPOSE OF REVIEW:Ongoing controversy exists as to the extent of the necessary evaluation of the female presenting with lower urinary tract symptoms. Most would agree that a detailed history, a physical examination and a urine analysis are essential components of the initial evaluation of lower urinary tract symptoms i...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200307000-00002

    authors: Rovner ES,Wein AJ

    更新日期:2003-07-01 00:00:00

  • Advances in laparoscopic partial nephrectomy.

    abstract:PURPOSE OF REVIEW:The advantages of the laparoscopic approach in the management of kidney tumors are unequivocal and the role of laparoscopy in nephron-sparing surgery is evolving. In a selected group of patients with small exophytic renal tumors laparoscopic partial nephrectomy became an alternative to open partial ne...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000135079.98882.6d

    authors: Touijer K,Guillonneau B

    更新日期:2004-07-01 00:00:00

  • Is robotic sacrocolpopexy a marketing gimmick or a technological advancement?

    abstract:PURPOSE OF REVIEW:Robot-assisted laparoscopic sacrocolpopexy (RALS) is a new surgical technique for the treatment of symptomatic vaginal vault prolapse that is rapidly gaining popularity among both urologists and gynecologists. This article will summarize the available published data to assess the potential advantages ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32833aaa2b

    authors: Kim JH,Anger JT

    更新日期:2010-07-01 00:00:00

  • Robotic surgery for ureteropelvic junction obstruction.

    abstract:PURPOSE OF REVIEW:Robotic surgery for ureteropelvic junction obstruction is an evolving technique. We review the current literature related to this technique and discuss the current technique and outcomes of robotic pyeloplasty. RECENT FINDINGS:Recent advances in robotic-assisted surgery have allowed the successful co...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000232052.74342.a0

    authors: Lee RS,Borer JG

    更新日期:2006-07-01 00:00:00

  • Female urinary microbiota.

    abstract:PURPOSE OF REVIEW:The newly discovered female urinary microbiota has the potential to deepen our understanding of urinary tract health and disease, including common lower urinary tract conditions such as urinary incontinence and urinary tract infection. The spectrum of painful bladder disorders and other less common co...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000396

    authors: Mueller ER,Wolfe AJ,Brubaker L

    更新日期:2017-05-01 00:00:00