“In patients with low-risk cervical cancer, simple hysterectomy was not inferior to radical hysterectomy with respect to the 3-year incidence of pelvic recurrence and was associated with a lower risk of urinary incontinence”… Dr. Marie Plante, New England Journal of Medicine, 2024; 390: 819-829. What else did Dr. Plante report in “Simple versus Radical Hysterectomy [...]
“The study aims to compare the efficacy and safety of bulking agents and single-incision slings … at our follow-up there was no discernible difference in terms of effectiveness or quality of life between patients treated with bulking agents and those treated with single-incision slings (Coloplast’s Altis sling)” … Dr. Lorenzo Campanella, Rome, Italy. What else [...]
Polypropylene-induced fibrosis links to pudendal neuralgia; red flag symptoms and PVDF benefits emphasized In our second clinical case, an irritation of the nerve might have occurred due to the fibrosis generated by the posteriorly deviated passage of the sling in the obturator foramen, close to the sacrospinous ligament” … Dr. Nasser Habib, Gynecologist, Siena, [...]
The underlying data compared complications of the retropubic slings with transobturator slings and compared the Altis mini-sling to Bard’s mini-sling. We have been waiting for the underlying data from the New England Journal of Medicine, published on March 31, 2022. The underlying data compared complications of the retropubic slings with transobturator slings and compared [...]
Mid-urethral slings made from PVDF are still not available in the United States, despite being available across the rest of the world Polyvinylidene fluoride (PVDF) is known to have better textile and biological properties”… Dr. Ann-Sophia Page, European Journal of Obstetrics & Gynecology and Reproductive Biology, Volume 279, December 2022, pgs. 60-71. Dr. Greg [...]
Dynamesh makers taking a responsible and deliberate path toward acceptance of PVDF as a useful biomaterial for transvaginal treatment of pelvic organ prolapse. The makers of Dynamesh (PVDF), in a 2023 study from Taiwan, appear to be taking a responsible and deliberate path towards general acceptance of PVDF as a useful biomaterial for the [...]
Dynamesh makers taking a responsible and deliberate path toward acceptance of PVDF as a useful biomaterial for transvaginal treatment of pelvic organ prolapse. “The makers of Dynamesh (PVDF), in a 2023 study from Taiwan, appear to be taking a responsible and deliberate path towards general acceptance of PVDF as a useful biomaterial for the [...]
PVDF meshes produce less scarring due to their higher biocompatibility, reducing the incidence of postoperative chronic pain complications Compared with traditional polypropylene meshes, PVDF meshes demonstrated better biostability, less focal inflammation or fibrosis in host tissue, and lower bending stiffness in a previous study … Therefore, it appears that PVDF meshes produce less scarring [...]
In the JMIG study, 7 out of 125 women reported groin pain within 6 weeks of receiving an Altis Sling. “125 women underwent a midurethral single incision sling…In the hospital based Ambulatory Surgical Unit… 2 patients reported unanticipated Adverse Events (AE’s) …The office based Ambulatory Surgical Unit…7 patients reported unanticipated AEs”….The Journal of Minimally [...]
Dr. Greg Vigna, “The utility of the Coloplast Altis sling and Boston Scientific Solyx is questionable at best. The FDA still does not support their safety or efficacy despite the FDA’s Obstetrics and Gynecology Device panel recommending more studies of mini-slings for stress urinary incontinence in 2011. Their utility has been called to question [...]