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Placard-Shaped_In_Situ_Vaginal_Wall_Sling_For_The_Treatment_of_Stress_Urinary_Incontinence.pdf | 1.47 MB |
Purpose: To evaluate the efficacy of a simple
and economic procedure by using a placard-shaped in-situ anterlor vaginal wall
sling for the treatment of stress urinary incontinence with or without
cystocele.
Patients and Methods: From
July 2003 to July 2004
fourteen female patients
with a mean age of 45.21 years (range 37-57 years) were operated for stress urinary
incontinence (SUI) with the
placard-shaped in-situ anterior vaginal wall sling technique. The average follow-up period was 11 months (range
4-14.5 months). Twelve patients were operated primarily with this' technique and two patients had
undergone previous surgeries before due to SUI (one patient had had two and the
other patient one previous surgery). In all patients urethral hypermobility or/and bladder prolapse were
observed. Urodynamic tests showed a sufficient bladder capacity with no
detrusor overactivity.
Results: No urinary retention was observed in' any patient during
the post-operative period. While eleven patients had achieved 100°" continence. One patient who had
been
operated twice before obese) and two patients with primary repair
started leak of Urine after 1-2 months operation. In two patients suprapubic tenderness
and redness were observed. And they
were treated by appropriate oral
therapy.
Conclusion: The placard technique is simple. Cost effective and
has a low incidence of urinary retention in the postoperative period. The successful
rate seems to be satisfactory and it can be applicable in patients who are not
very obese and without multiple previous surgeries due to SUI. Yet. Further long-term studies
need to be carried out with a larger number of patients for further evaluation of
this technique.