Results of Anterior Vaginal Wall Sling Operation for Female Stress Urinary Incontinence.
- Author:
Dong Soo LEE
1
;
Jeong Gu LEE
;
Sung Kun KOH
Author Information
1. Department of Urology, College of Medicine, Korea University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Anterior vaginal wall sling;
Intrinsic sphincter deficiency;
Urethral hypermobility
- MeSH:
Abdominal Pain;
Catheterization;
Catheters;
Female*;
Follow-Up Studies;
Humans;
Neck;
Sensation;
Urinary Bladder;
Urinary Incontinence*;
Urinary Retention
- From:Korean Journal of Urology
1999;40(4):481-484
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To review the short-term result of Raz`s anterior vaginal wall sling as a treatment for intrinsic sphincter deficiency(ISD) and urethral hypermobility. MATERIALS AND METHODS: Twenty-three women who had intrinsic sphincter deficiency and urethral hypermobility were treated by AVL which employed an island of in situ anterior vaginal wall as a sling to support the bladder neck and mid-urethra. RESULTS: After a mean follow-up of 4.7(3-6)months, urinary incontinence was disappeared completely after the AVL. Complications included urinary retention in 6 patients, residual urine sensation in 5 patients which improved after intermittent catheterization. The other complication was low abdominal pain in 5 patients. CONCLUSIONS: It is suggested that AVL was effective treatment of ISD and urethral hypermobility with simple technique, low morbidity and high cure rate.
