An-Najah Staff

Objective: To prospectively evaluate the long term results of a novel surgical technique in the treatment of female stress urinary incontinence (SUI).
Material-Methods: Twenty three female patients with mean age of 48.2 years (range: 22-73), underwent anti-incontinence surgery due to SUI between Augusts 2006 and January 2008. All cases were primary except two patients had previous anti-incontinence surgery, In-situ anterior vaginal wall sling, reinforced with equi-size monofilament polypropylene tape, was used as an anti-incontinence surgical procedure (Figure 1, 2). The mean follow up period was 30.2 months (range:24-38).
Results: The surgical technique was successful in twenty two 95.65% patients as twenty of them were cured and two patients showed clinical improvements. Only one patient 4.35% did not benefit from the surgery (64:year-old, diabetic, BMI= 44,98).Urinary retention was observed in one patients 4.34% which was resolved after decreasing the tension of suspension sutures, Vaginal mesh erosion was found in two patients 8.69% during the gynaecological examination in the first month postoperatively. one of them had early sexual intercourse, No postoperatively significant post-voiding residue was detected.
Conclusion: Cost-effectiveness and low risk of urethral erosion, due to the presence of intervening vaginal mucosa, are important considerations of this technique. Long term success is expected, because relaxation of non-tension free suspension sutures and dislocation of mid urethral Sling are not expected.