Kuschel Stefanie, Schuessler Bernhard
Cantonal Hospital Lucerne, Department of Obstetrics and Gynecology, Lucerne, Switzerland.
Neurourol Urodyn. 2008;27(5):403-6. doi: 10.1002/nau.20528.
To examine the efficacy and safety of the Safyre-t vaginal sling.
108 women with a Safyre-t were invited for a gynecological follow up examination.
79/108 patients showed up for an examination at 20 +/- 4 months 59.5% stated that they were subjectively dry. Vaginal sling erosion was found in 8.8% of the patients and a pre-erosive state in another 13.9%. The lateral silicone column could be palpated medial to the pubic bone in 47% of the patients indicating dislocation. 6/53 sexually active women complained of dyspareunia and one women stated that her partner had felt discomfort during sexual intercourse since her vaginal sling surgery.
This study shows that despite high patient satisfaction and acceptable subjective continence rates, the Safyre-t was associated with a comparatively high rate of vaginal sling erosions and dislocations.
