Research

Laparoscopic colposuspension for recurrent stress incontinence after tension-free vaginal tape
This study reported how this technique “offers a viable mesh-free option for the treatment of recurrent stress incontinence in women who have had failed TVT”.
Journal of Minimally Invasive Gynecology 26(3): 402-403. March/April 2019.

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Back to the future in female stress urinary incontinence surgery – are the titans rising again?
“A retrospective study on surgery for female stress urinary incontinence (SUI) in a centre that offers all surgical options as per the NICE guidelines showed a significant decline in synthetic midurethral sling procedures and a re-emergence of colposuspension when patients were allowed to choose their preferred surgical procedure based on informed consent using national information leaflets and their own research. Social awareness of synthetic tape-related complications possibly has a role in this and may further influence daily female urology and urogynaecology practice in the future when dealing with female SUI.”
Neurourology and Urodynamics. 2017.

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Vaginal colposuspension: a new approach to an established continence procedure
Had the Ward Hilton study (BMJ 325: 67; below) not been published, it is likely that the vaginal colposuspension would have become the gold standard – as per this paper. Instead, mesh took off and surgeons lost their traditional skills
Journal of Obstetrics and Gynaecology 23(6): 687-688. November 2003.

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• Top image: Hernia mesh made of polypropylene. By Doctoroftcm – Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=12076157