RESUMO
Our aim was to evaluate the efficacy of utilizing in situ anterior vaginal wall sling in the treatment of stress urinary incontinence [SUI]. The study included 11 women with a median age of 50 years [range, 36 to 60 years] who were operated on during the period of November 2005 to August 2006. They were diagnosed with SUI and were operated on using placard-shaped in situ anterior vaginal wall sling technique. Nine patients underwent surgical treatment for the first time, while 2 patients had postoperative recurrent SUI. In all of the patients, urethral hypermobility with or without cytocele was observed. The mean follow-up period was 22.5 months [range, 17 to 28 months]. Ten patients [90.9%] were considered cured and 1 [9.1%] started leakage of urine after 1 month during the postoperative period. One patient [9.1%] had urinary retention. Three patients [27.3%] had evidence of wound infection which was treated by appropriate oral medical therapy. In situ anterior vaginal wall sling technique is accredited with a good success rate and low incidence of complications. It is easy to learn and cost-effective, making it a suitable technique for SUI. Longer follow-up and larger number of patients are needed before final conclusion could be drawn