How to Achieve Long-Term Success in the Treatment of Female Urinary Stress Incontinence? Novel Modification on Vaginal Sling
Korean Journal of Urology
;
: 184-188, 2011.
Article
in English
| WPRIM
| ID: wpr-38580
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 ANDMETHODS:
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polypropylenes
/
Relaxation
/
Sutures
/
Urinary Incontinence
/
Urinary Incontinence, Stress
/
Follow-Up Studies
/
Urinary Retention
/
Joint Dislocations
/
Suburethral Slings
/
Mucous Membrane
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
Language:
English
Journal:
Korean Journal of Urology
Year:
2011
Type:
Article
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