{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T10:45:40Z","timestamp":1766486740221,"version":"3.41.2"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Advances in Urology"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec><jats:title>Introduction:<\/jats:title><jats:p> Aims of this study were to evaluate the functional outcomes of a vaginal wall sling technique in patients with stress urinary incontinence at 20 years after surgery and to evaluate the patient\u2019s satisfaction after the surgical procedure. <\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods:<\/jats:title><jats:p> This was a prospective single-center study on patients with stress urinary incontinence who underwent in situ vaginal sling surgery. Presurgery evaluation included history, pelvic examination, and urodynamic test. All patients completed Urogenital Distress Inventory\u20136 (UDI-6) questionnaire. They underwent checkups at 1, 3, 6, and 12 months postoperatively and then annually. The sling was created by making a rectangle (15\u201320\u2004\u00d7\u200425 mm) on the anterior vaginal wall and it was reinforced by one roll of Marlex mesh on each side of the sling. The sutures were passed through the vagina at the suprapubic level after suprapubic incision, above the rectus fascia and tied without excessive tension. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> From May 1996 to May 2002, 40 women underwent vaginal wall sling surgery for stress urinary incontinence. Last visit was performed on 20 women between March 2020 and April 2020. Median follow-up was 251.3 months (20.9 years) (range\u2004=\u2004204.3\u2013285.4 months). The success rate after 5 years of surgical procedure was 80%; over 5 years, the objective cure rate was 45%. Considering only the group of 13 patients with pure stress urinary incontinence, the objective cure rate decreased to 38%, in particular 7 years after surgery. Women who did not resolve their urinary incontinence needed to undergo a new treatment. At over 5 years after surgery, there was an increase in urgency ( p\u2004=\u20040.001) and voiding symptoms ( p\u2004=\u20040.008) and urgency urinary incontinence (UUI) ( p\u2004=\u20040.04). Ninety-five percent were very much worse or much worse according to the Patient Global Impression of Improvement (PGI-I) scale. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> The in situ vaginal wall sling does not guarantee good long-term functional outcomes in women with stress urinary incontinence. <\/jats:p><\/jats:sec>","DOI":"10.1177\/17562872221084391","type":"journal-article","created":{"date-parts":[[2022,3,7]],"date-time":"2022-03-07T10:00:42Z","timestamp":1646647242000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Could the vaginal wall sling still have a role after the FDA\u2019s warning? Functional outcomes at 20 years"],"prefix":"10.1177","volume":"14","author":[{"given":"Ester","family":"Illiano","sequence":"first","affiliation":[{"name":"Andrology and Urogynecology Clinic, Santa Maria Terni Hospital, University of Perugia, Terni, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9291-2426","authenticated-orcid":false,"given":"Francesco","family":"Trama","sequence":"additional","affiliation":[{"name":"Andrology and Urogynecology Clinic, Santa Maria Terni Hospital, University of Perugia, Piazzale Tristano di Joanuccio 1, Terni 05100, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Marchesi","sequence":"additional","affiliation":[{"name":"Andrology and Urogynecology Clinic, Santa Maria Terni Hospital, University of Perugia, Terni, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Consuelo","family":"Fabi","sequence":"additional","affiliation":[{"name":"Department of Experimental Medicine, Section of Terni, University of Perugia, Terni, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Brancorsini","sequence":"additional","affiliation":[{"name":"Department of Experimental Medicine, Section of Terni, University of Perugia, Terni, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabetta","family":"Costantini","sequence":"additional","affiliation":[{"name":"Andrology and Urogynecology Clinic, Santa Maria Terni Hospital, University of Perugia, Terni, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,3,7]]},"reference":[{"key":"bibr1-17562872221084391","first-page":"1987","volume-title":"Campbell-Walsh urology","author":"Dmochowski RR","year":"2016","edition":"11"},{"key":"bibr2-17562872221084391","doi-asserted-by":"crossref","unstructured":"Hohenfelner R, Petrie E. Sling procedure in surgery. Berlin: Spring-Verlag, 1986, pp. 105\u2013113.","DOI":"10.1007\/978-1-4471-3284-4_7"},{"key":"bibr3-17562872221084391","first-page":"187","volume":"2","author":"Goebel R.","year":"1910","journal-title":"Zeitschrift gynakologisch Urologie"},{"key":"bibr4-17562872221084391","unstructured":"Squier J. Post-operative urinary incontinence: urethroplastic operation. 1911; 79: 868."},{"key":"bibr5-17562872221084391","first-page":"769","volume":"1","author":"Martius H.","year":"1929","journal-title":"Der Chirurg Zeitschrift Gebeite operative Medizen"},{"key":"bibr6-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)57390-5"},{"key":"bibr7-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1509-x"},{"key":"bibr8-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.04.026"},{"key":"bibr9-17562872221084391","unstructured":"U.S. Food & Drug Administration. FDA public health notification: serious complications associated with transvaginal placement of surgical mesh in repair of pelvic organ prolapse and stress urinary incontinence, 20 October 2008, http:\/\/www.amiform.com\/web\/documents-risques-op-coelio-vagi\/fda-notification-about-vaginal-mesh.pdf"},{"key":"bibr10-17562872221084391","unstructured":"U.S. Food & Drug Administration. FDA safety communication: update on serious complications associated with transvaginal placement of surgical mesh for pelvic organ prolapse, 13 July 2011, https:\/\/2015.iuga.org\/wp-content\/uploads\/workshops\/ws29_literature7.pdf"},{"key":"bibr11-17562872221084391","unstructured":"Urogynecologic surgical mesh implants \u2013 FDA\u2019s role and activities, http:\/\/www.fda.gov\/MedicalDevices\/ProductsandMedicalProcedures\/ImplantsandProsthetics\/UroGynSurgicalMesh\/ucm262301.htm (accessed 28 November 2016)."},{"key":"bibr12-17562872221084391","first-page":"353","volume":"81","author":"Food and Drug Administration, HHS","year":"2016","journal-title":"Fed Regist"},{"key":"bibr13-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2020.06.053"},{"key":"bibr14-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-004-1173-5"},{"key":"bibr15-17562872221084391","first-page":"13","volume-title":"Surgical repair of vaginal defects","author":"Baden WF","year":"1992"},{"key":"bibr16-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.04.008"},{"key":"bibr17-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2011.01.016"},{"key":"bibr18-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)65976-7"},{"key":"bibr19-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1007\/BF02202015"},{"key":"bibr20-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65546-2"},{"key":"bibr21-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-003-1085-9"},{"key":"bibr22-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20063"},{"key":"bibr23-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-007-9217-7"},{"key":"bibr24-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-1933-6"},{"key":"bibr25-17562872221084391","first-page":"308","volume":"86","author":"Viseshsindh W","year":"2003","journal-title":"J Med Assoc Thai"},{"key":"bibr26-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)67553-2"},{"key":"bibr27-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(96)00062-3"},{"key":"bibr28-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.03.003"},{"key":"bibr29-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.04.022"},{"key":"bibr30-17562872221084391","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.03.048"},{"key":"bibr31-17562872221084391","unstructured":"Scientific Committee on Emerging and Newly Identified Health Risks (SCENIHR). 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