How to Achieve Long-Term Success in the Treatment of Female Urinary Stress Incontinence? Novel Modification on Vaginal Sling.
10.4111/kju.2011.52.3.184
- Author:
Mahmoud MUSTAFA
1
Author Information
1. Department of Urology, Osmaniye State Hospital, Osmaniye, Turkey. dr_mahmoud68@yahoo.com
- Publication Type:Original Article
- Keywords:
Incontinence;
In situ vaginal sling;
Urinary incontinence, stress
- MeSH:
Dislocations;
Female;
Follow-Up Studies;
Humans;
Mucous Membrane;
Polypropylenes;
Relaxation;
Suburethral Slings;
Sutures;
Urinary Incontinence;
Urinary Incontinence, Stress;
Urinary Retention
- From:Korean Journal of Urology
2011;52(3):184-188
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Modest long-term success is one of the most disappointing issues facing patients undergoing anti-incontinence surgery. Herein we introduce a novel surgical modification of the vaginal sling to address the mechanisms that may lead to a reduction in the success rate at the long-term follow-up. MATERIALS AND METHODS: Twenty-three female patients with mean age of 48.2 years (range, 22-73 years) underwent anti-incontinence surgery to correct their stress urinary incontinence (SUI) between August 2006 and January 2008. The in situ anterior vaginal wall sling, reinforced with equi-size monofilament polypropylene tape, was used as an anti-incontinence surgical procedure. The mean follow-up period was 30.2 months (range, 24-38 months). RESULTS: The surgical technique was successful in 22 patients (95.65%); 20 of them were cured and 2 patients showed clinical improvements. Urinary retention was observed in one patient (4.34%), which was resolved after decreasing the tension of the suspension sutures. No significant post-voiding residue was detected postoperatively. CONCLUSIONS: Cost-effectiveness and a low risk of urethral erosion, due to the presence of intervening vaginal mucosa, are important advantages of this technique. Long-term success is expected, because relaxation of the non-tension-free suspension sutures and dislocation of the midurethral sling are less likely.
