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Dr. Lucente Completes International Surgical Proctoring Tour

July 25, 2014

Dr. Lucente traveled to Australia in May to educate physicians on a new single incision sling (SIS) procedure entitled “Altis” for the treatment of stress urinary incontinence.  Originally SIS’s were referred to as ‘mini-slings’ and were attractive because they require only a small single incision within the vagina to be placed…no external incisions.  The earliest designs were found not to be as effective long term as standard 3 incision slings that require 2 external incisions.  A recently published study of a systematic scientific review of all the clinical trials that have compared the efficacy/safety of standard 3 incision slings revealed the newer SIS procedures, with a more robust anchoring system, (such as Altis ) are equally effective and do offer improved patient safety. The weeklong trip started in Sidney, then crisscrossing Australia from Melbourne to Perth, to Bunbury, to Brisbane and back again.  In total over 50 Australian physician colleagues were educated, including 33 Ob/Gyns, 16 Urogynecologist, 4 Urologists and 13 residents.  In addition to the many lectures and discussions, a total of 7 surgeries were completed during the trip. “Though the trip was exhausting it was very gratifying to be a part such an exciting and widespread educational effort” stated Dr. Lucente. Dr.  Lucente was instrumental in both teaching the surgery and providing feedback to the Australian surgeons because of his extensive surgical experience in urogynecology.  Over the past three years there has been a controversy surrounding complications associated with the transvaginal use of synthetic mesh materials for the repair of pelvic organ prolapse and/or treatment of female stress urinary incontinence.  Dr. Lucente has led a national effort to emphasize that it is truly the physician’s experience and true surgical expertise in placing these implants that mostly determines the outcome.  Essentially, when the procedure is optimally performed by the surgeon the inherent risk of any adverse event can be minimized.  The physicians at The Institute for Female Pelvic Medicine & Reconstructive Surgery have helped develop the proper techniques, have trained the most physicians, and lead the country in experience with proper mesh placement for use in reconstructive pelvic surgery.

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