{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:10:31Z","timestamp":1787771431249,"version":"build-2784847793"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T00:00:00Z","timestamp":1630627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012659","name":"Foundation for Innovative Research Groups of the National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81400758"],"award-info":[{"award-number":["81400758"]}],"id":[{"id":"10.13039\/501100012659","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012659","name":"Foundation for Innovative Research Groups of the National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81300572"],"award-info":[{"award-number":["81300572"]}],"id":[{"id":"10.13039\/501100012659","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004608","name":"Natural Science Foundation of Jiangsu Province","doi-asserted-by":"publisher","award":["20181093"],"award-info":[{"award-number":["20181093"]}],"id":[{"id":"10.13039\/501100004608","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p><jats:bold>Purpose:<\/jats:bold> The purpose of this study is to evaluate the efficacy of management and follow-up practices in repeat retropubic mid-urethral synthetic sling (MUS) procedure after transobturator tape\/tension-free vaginal tape-obturator (TOT\/TVT-O) failure, and to clarify the possible etiology of recurrent stress urinary incontinence.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> The charts of all women patients who underwent tension-free vaginal tape (TVT) slings after previous failed transobturator MUS procedures between February 2012 and November 2018 at a single center were reviewed retrospectively. The transperineal ultrasound was performed to assess the pre-operative or post-operative urethral mobility and location of the slings. Furthermore, some essential evaluations were also made, mainly including medical history, physical examination, 1 h pad test, and urodynamic study. Finally, primary outcomes were evaluated according to the above items at 3, 6, and 12 months after the second operation, respectively.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> Thirty-five patients were included in the primary transobturator MUS sling procedure. At the 6 months follow-up, 32 (91.42%) patients were socially continent and negative in 1 h pad test. The transperineal ultrasound measurement results revealed that the bladder neck descent (BND) values were significantly decreased after the repeat sling operation, and better urinary continence function was observed according to the post-operative urodynamic study. Multifactorial etiologies resulted in recurrent stress urinary incontinence (SUI), including poor surgical technique, inadequate sling tension when treating ISD, and inappropriate sling position. Then the detail of the surgical procedure varied with the results of pre-operative evaluations, affecting the validity of the second sling.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> Recurrent SUI has resulted from multi factors, pre-operative urodynamic study and transperineal ultrasound might be valuable tools to guide repeat sling operation and predict post-operative outcomes. A repeat TVT procedure may be regarded as a remedial measure for a failed transobturator MUS operation.<\/jats:p>","DOI":"10.3389\/fsurg.2021.710594","type":"journal-article","created":{"date-parts":[[2021,9,4]],"date-time":"2021-09-04T09:11:55Z","timestamp":1630746715000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Management and Follow-Up Practices of Women With Recurrent Stress Urinary Incontinence Following Transobturator Mid-urethral Synthetic Sling Procedure: A 6-Year Retrospective Monocentric University-Based Study"],"prefix":"10.3389","volume":"8","author":[{"given":"Yi","family":"Huang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengsen","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baixin","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunpeng","family":"Shao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiduo","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fisch","family":"Margit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongqing","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liucheng","family":"Ding","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,9,3]]},"reference":[{"key":"B1","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/BF01902378","article-title":"An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence","volume":"7","author":"Ulmsten","year":"1996","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct."},{"key":"B2","doi-asserted-by":"publisher","first-page":"S70","DOI":"10.1002\/nau.24030","article-title":"Midurethral slings for treatment of stress urinary incontinence review","volume":"38","author":"Ford","year":"2019","journal-title":"Neurourol Urodyn."},{"key":"B3","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1097\/GCO.0b013e32834a9282","article-title":"Recurrent stress urinary incontinence after synthetic mid-urethral sling procedures","volume":"23","author":"Walsh","year":"2011","journal-title":"Curr Opin Obstetr Gynecol."},{"key":"B4","doi-asserted-by":"publisher","first-page":"999","DOI":"10.1007\/s00192-007-0558-7","article-title":"Urethral erosion after suburethral synthetic slings: risk factors, diagnosis, and functional outcome after surgical management","volume":"19","author":"Velemir","year":"2008","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct."},{"key":"B5","doi-asserted-by":"publisher","first-page":"871","DOI":"10.1046\/j.1464-4096.2001.01667.x","article-title":"A systematic review of tension-free urethropexy for stress urinary incontinence: intravaginal slingplasty and the tension-free vaginal tape procedures","volume":"88","author":"Merlin","year":"2001","journal-title":"BJU Int."},{"key":"B6","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1007\/s00192-004-1245-6","article-title":"Use of three-dimensional ultrasound scan to assess the clinical importance of midurethral placement of the tension-free vaginal tape (TVT) for treatment of incontinence","volume":"16","author":"Ng","year":"2005","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct."},{"key":"B7","doi-asserted-by":"publisher","first-page":"753","DOI":"10.1007\/s00345-018-2253-3","article-title":"Pelvic floor ultrasound in the diagnosis of sling complications","volume":"36","author":"Chan","year":"2018","journal-title":"World J Urol."},{"key":"B8","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1111\/j.1464-410X.2008.07612.x","article-title":"Is there an alternative to pad tests? Correlation of subjective variables of severity of urinary loss to the 1-h pad test in women with stress urinary incontinence","volume":"102","author":"Franco","year":"2008","journal-title":"BJU Int."},{"key":"B9","doi-asserted-by":"publisher","first-page":"101629","DOI":"10.1016\/j.jogoh.2019.101629","article-title":"Utility of 2D-ultrasound in pelvic floor muscle contraction and bladder neck mobility assessment in women with urinary incontinence","volume":"49","author":"Jamard","year":"2020","journal-title":"J Gynecol Obstetr Hum Reprod."},{"key":"B10","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1007\/s00192-009-1010-y","article-title":"The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up","volume":"21","author":"Haliloglu","year":"2010","journal-title":"Int Urogynecol J."},{"key":"B11","doi-asserted-by":"publisher","first-page":"920","DOI":"10.1080\/00016340903100354","article-title":"Which type of mid-urethral sling procedure should be chosen for treatment of stress urinary incontinance with intrinsic sphincter deficiency? Tension-free vaginal tape or transobturator tape","volume":"88","author":"Gungorduk","year":"2009","journal-title":"Acta Obstetr Gynecol Scand."},{"key":"B12","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1016\/0090-4295(90)80265-o","article-title":"Low urethral pressure and stress urinary incontinence in women: risk factor for failed retropubic surgical procedure","volume":"36","author":"Koonings","year":"1990","journal-title":"Urology."},{"key":"B13","doi-asserted-by":"publisher","first-page":"1242061","DOI":"10.1155\/2016\/1242061","article-title":"The outcome of repeated mid urethral sling in SUI treatment after vaginal excisions of primary failed sling: preliminary study","volume":"2016","author":"Kociszewski","year":"2016","journal-title":"BioMed Res Int."},{"key":"B14","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1002\/uog.2834","article-title":"Role of bladder neck mobility and urethral closure pressure in predicting outcome of tension-free vaginal tape (TVT) procedure","volume":"28","author":"Viereck","year":"2006","journal-title":"Ultrasound Obstet Gynecol."},{"key":"B15","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1007\/s00192-015-2797-3","article-title":"Retropubic or transobturator mid-urethral slings for intrinsic sphincter deficiency-related stress urinary incontinence in women: a systematic review and meta-analysis","volume":"27","author":"Ford","year":"2016","journal-title":"Int Urogynecol J."},{"key":"B16","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1007\/s00192-019-04171-w","article-title":"Outcomes and failure risks in mid-urethral sling insertion in elderly and old age with urodynamic stress incontinence","volume":"31","author":"Lo","year":"2020","journal-title":"Int Urogynecol J."},{"key":"B17","doi-asserted-by":"publisher","first-page":"O89","DOI":"10.1111\/luts.12223","article-title":"Repeat retropubic suburethral sling procedure is effective for recurrent female stress urinary incontinence","volume":"11","author":"Ong","year":"2019","journal-title":"Lower Urin Tract Symptoms."},{"key":"B18","doi-asserted-by":"publisher","first-page":"207","DOI":"10.15557\/JoU.2019.0031","article-title":"The role of TVT position in relation to the pubic symphysis in eliminating the symptoms of stress urinary incontinence and urethral funneling","volume":"19","author":"Pedraszewski","year":"2019","journal-title":"J Ultrasonogr."},{"key":"B19","doi-asserted-by":"publisher","first-page":"1571","DOI":"10.1016\/j.juro.2017.12.046","article-title":"Correlations between sonographic and urodynamic findings after mid urethral sling surgery","volume":"199","author":"Wen","year":"2018","journal-title":"J Urol."},{"key":"B20","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1002\/j.2205-0140.2014.tb00108.x","article-title":"Imaging of slings and meshes","volume":"17","author":"Shek","year":"2014","journal-title":"Australas J Ultrasound Med."},{"key":"B21","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.1007\/s00192-011-1402-7","article-title":"Pelvic floor ultrasound in incontinence: what's in it for the surgeon?","volume":"22","author":"Dietz","year":"2011","journal-title":"Int Urogynecol J."}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2021.710594\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,4]],"date-time":"2021-09-04T09:11:57Z","timestamp":1630746717000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2021.710594\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,3]]},"references-count":21,"alternative-id":["10.3389\/fsurg.2021.710594"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2021.710594","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,3]]},"article-number":"710594"}}