Johnson & Johnson s.r.o. 

Transvaginal repair of genital prolapse: prelimitary results ofa new tension-free vaginal mesh (proliftTM tachnique) – a case series multicentric study

Fatton B., Amblard J., Debodinance P., Cosson M., Jacquetin B., Received: 4 June 2006 / Accepted: 14 September 2006 # International Urogynecology Journal 2006

Our goal was to report the preliminary results of a transvaginal mesh repair of genital prolapse using the Prolift™ system. This retrospective multicentric study includes 110 patients. All patients had a stage 3 (at the hymen) or stage 4 (beyond the hymen) prolapse.

The use of prosthetics in pelvic reconstructive surgery

Colin Birch* FRCS(C), Division of Urogynaecology, Department of Obstetrics and Gynecology, Foothills Medical Centre, North Tower, 1441-29th Street, NW Calgary, Alta., Canada T2N 4J8

With an ageing population, increasing numbers of women are presenting with pelvic floor disorders. The lifetime risk of undergoing prolapse or incontinence surgery in the USA is 1 in 11. With a recognized reoperation rate exceeding 30% for prolapse surgery, attempts are being made to improve our primary surgical outcomes.

TVM technique for prolapse surgical treatment : retrospective study of 684 patients

Cosson M., Caquant F., Collinet P., Rosenthal C., Clave H., Debodinance P., Garbin O., Berrocal J., Villet R., Jacquetin B., France

Objectives: Before having the Prolift device, assess peri operative complication rate of the TVM technique, retrospective multicentric (7 centers) study 684 patients from November 2002 to December 2004, mean age 63.8 years, mean follow up 3.6 months, previous hysterectomy : 24.3%, previous prolapse or GSI surgery : 27.8%.

Synthetic Biomaterials for Pelvic Floor Reconstruction

Karlovsky M. E., MD, Kushner L., PhD, and Badlani G. H., MD*, Current Urology Reports 2005, 6: 376–384.

Pelvic organ prolapse and stress urinary incontinence increase with age. The increasing proportion of the aging female population is likely to result in a demand for care of pelvic floor prolapse and incontinence. Experimental evidence of altered connective tissue metabolism may predispose to pelvic floor dysfunction, supporting the use of biomaterials, such as synthetic mesh, to correct pelvic fascial defects.

Objective analysis of mechanical resistance of tension-free devices

Boukerrou M., Lambaudie E., Collinet P., Rubod C., Boulanger L., Dubois P., Fasel J., Cosson M.

Received 15 June 2004; received in revised form 17 May 2005; accepted 5 June 2005.

The "tension-free" procedures are widely used by surgeons for the treatment of urinary incontinence and prolapse. The clinical results are largely in favour of these procedures. The aim of our study is to determine objectively the mechanical tissue resistance when using these techniques, before healing begins.

Sedation and local anaesthesia for vaginal pelvic floor repair of genital prolapse using mesh

Folke Flam

Received: 5 October 2006 / Accepted: 3 March 2007, International Urogynecology Journal 2007

In this study of the surgical repair of pelvic organ prolapse (POP), the vaginal pelvic floor repair with mesh (PFR-Mesh) procedure was used. The procedure is originally named TVM. All 55 patients in the series were operated upon under sedation and local anaesthesia as pain relief. The objectives were twofold.

Early U.S. experience with vaginal extraperitoneal colpopexy using a polypropylene graft (Prolift™) for the treatment of pelvic organ prolapse

Murphy M., MD, Raders J., MD*, Haff R., RN, Yeager M., MD, Lucente V., MD, The Institute for Female Pelvic Medicine & St. Luke’s Hospital, Allentown, PA
*Female Pelvic Medicine Minneapolis, MN

Objective: To assess the peri-operative morbidity, short-term success, and sexual function of patients treated for pelvic organ prolapse with a new approach to the transvaginal placement of synthetic grafts.

Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence

Nilsson C. G., MD, Ph.D., Falconer C., MD, Ph.D., and Rezapour M., MD, Ph.D.

Objective: To evaluate the long-term cure rates and late complication rates after treatment of female urinary stress incontinence with the minimally invasive tension-free vaginal tape operation.

Comparison between monofilament and multifilament polypropylene tapes in urinary incontinence

Bafghi A., Valerio L., Benizri E. I., Trastour C., Benizri E. J., Bongain A., received 28 May 2004; received in revised form 14 November 2004; accepted: 20 January 2005

Objective: We compare the efficacy and late complications between a polypropylene monofilament tape (TVT) and a polypropylene multifilament tape (IVS) in the surgical implant of sub-urethral, tension free tape for the treatment of stress urinary incontinence (SUI).

Les bandeletess sous-urétrales synthétiques dans le traitement de I’incontinence urinaire d’effort feminine

Jean-Francois Hermieu, Stéphane Milcent, Progrés en Urologie (2003), 13,636 – 647

Depuis la commercialization et le success de la technique TVT, d’autres produits sont apparus sur le marché des bandelettes sous urétrales.

Mechanical properties of urogynecologic implant materials

Dietz H. P., Vancaillie H. P., Svehla M., Walsh W., Steensma A. B., Vancaillie T. G., Int. Urogynecol. J. 2003, 14: 239–243, received: 23 July 2002 / accepted: 10 January 2003 / published online: 5 August 2003

Synthetic suburethral slings have recently become popular despite the risk of erosion commonly associated with synthetic implants. Some of these materials seem to have unexpectedly low erosion rates. Based on the hypothesis that erosion is due, in part, to biomechanical properties, we undertook an in vitro study.

Tension-free vaginal tape procedure on genuine stress incontinent women with coexisting genital prolapse

Tsia-Shu Lo,Ting-Chang Chang, An-Shine Chao, Hung-Hsueh Chou, Ling-Hong Tseng and Ching-Chung Liang, Acta Obstet. Gynecol. Scand. 2003. 82: 1049–1053

Objective: To study the efficacy of performing the tension-free vaginal tape (TVT) procedure concurrently with vaginal pelvic relaxation surgeries in the management of genuine stress incontinence with genital prolapse.

Are all devices used to correct urinary incontinence by tension-free mesh the same?

I. Galmés Belmonte, E. Diaz Gómez, Actas Urológicas Espanolas July/August 2004

Since 1996, when Ulmsten described the TVT (Tension-free Vaginal Tape) procedure for correcting urinary stress incontinence, numerous variations have been described and a large number of devices have been put on the market, all attempting to reproduce the original technique. However, the results do not depend on the surgical technique alone but also on two other basic factors:

Tension-free vaginal tape operation - Results of the Austrian registry

Tamussino K. F., MD, Hanzal E., MD, Kölle D., MD, Ralph G., MD, Riss P., MD, Vol. 98, No 5, Part 1, November 2001, published by Elsevier Science Inc.

Objective: To assess the use of and perioperative complications associated with the tension-free vaginal tape operation with central registry.

Complaint Reporting Statement Gynecare TVT* Tension-free Support for Incontinence and Complaint Reporting Statement Gynecare TVT* Obturator System Tension-free Support for Incontinence

ETHICON, INC.

A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure

Kuuva N., Nilsson C. G., Acta Obstet. Gynecol. Scand. 2002, 81: 72–77

Background:To evaluate the therapy-associated morbidity of all pacient who underwent a TVT operation in Findland by the end of the year 1999.

Transobturator vaginal tape inside-out a minimally invasive treatment of stress urinary incontinence: Surgical procedure and anatomical conditions

Reisenauer C., Kirschniak A., Drews U., Wallwiener D.,
received 27 August 2005; received in revised form 22 October 2005; accepted 3 November 2005

Objective: The aim of this study was to review the surgical transobturator vaginal tape inside-out (Gynecare TVT-O, Ethicon Inc., Somerville, NJ) technique as described by de Leval and to present the relevant anatomical conditions of the lower pelvis on the basis of corpse dissections after TVT-O placement.

Trans-obturator-tape procedure – “inside out or outside in”: current concepts and evidence base

Costa P., Demas V., Current Opinion in Urology 2004, 14: 313–315

Surgical treatment of female stress urinary incontinence has become very popular as a consequence of the good resuls given by the minimally invasive tension-free vaginal tape. This has attracted great attention from industry, resulting in a proliferation of new slings and different implantation techniques.

TVT-O for the treatment of female stress urinary incontinence: results of a prospective study after a 3-year minimum follow-up

Waltregny D., Gaspar Y., Reul O., Hamida W., Bonnet P., Leval J. de, European Urology 2007

Objectives: Medium-term results of transobturator tapes for the treatment of female stress urinary incontinence (SUI) are largely unknown. We analyzed the 3-yr results of a prospective, observational study designed to evaluate the safety and efficacy of the TVT-O procedure.

One-year follow-up of tension-free vaginal tape (TVT) and transobturator suburethral tape from inside to outside (TVT-O) for surgical treatment of female stress urinary incontinence: a prospective randomised trial

Zulloa M. A., Plottib F., Calcagnob M., Marulloa E., Palaiab I., Bellatib F., Basileb S., Muziia L., Angiolia R., Paniciba P. B., European Urology 2006

Objectives:To comparetension-free vaginal tape(TVT) and trans-obturator sub-urethral tape from inside to outside (TVT-O) for surgical treatment of stress urinary incontinence (SUI) for complications (primary end point) and success rate (secondary end point).

Résultats préliminairesde la bandelette sousurétrale de type TVT-O passée de dedans en dehors pour la cure chirurgicale de l’incontinence urinaire feminine

Gérard Delleur, Alain Pigne, Raphaël Hocquemiller

Depuis les publications initiales de Ulmstein, la technique de bandelettes sous-urétrales pour la cure d’incontinence a généré de nombreuses publications : toutes mettent en exergue les excellents résultats de cette technique. Cependant, quelques publications ont alerté sur les complications rares mais graves possibles et ainsi dans le meme temps de nombreuses variantes de la technique vont etre proposées.

Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out (TVT-O)

Jean de Leval, Pierre Bonnet, Olivier Reul, David Waltregny, Department of Urology, University Hospital of Liege, Belgium

Retropubic tension-free sub-urethral vaginal tapes have revolutionized the treatment of female stress urinary incontinence. In 2001, a transobturator approach has been proposed for the surgical placement of sub-urethral tapes, with the aim of sparing the retropubic space4. Clinical results as well as anatomical works have suggested that this approach may be safer.

TVT and TVT-Obturator: Comparison of two operative procedures

Menahem Neuman, European Journal of Obstetrics & Gynecology and Reproductive Biology

Tension-free vaginal tape (TVT) is a well-established surgical procedure for the treatment of female urinary stress incontinence (USI). The operation, described by Ulmsten in 1996 and based on a mid-urethral Prolene tape support, is accepted worldwide as an easy-to-learn, effective and safe surgical technique. Being minimally invasive and providing high success rates and low complication rates, it has rapidly become very popular.

Transobturator vaginal tape inside out for the surgical treatment of female stress urinary incontinence: anatomical considerations

Bonnet P., Waltregny D., Reul O., Leval J. de, Journal of Urology 2005, 173: 1223–1228

We have recently described novel surgical technique for female stress urinary incontinence, that is the transobturator vaginal tape inside out, which uses specific instruments for the passage of synthetic tape from beneath the urethra toward the thigh folds.