How To Achieve Long-Term Success In The Treatment of Female Urinary Stress Incontinence? Novel Modification on Vaginal Sling

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Journal Title, Volume, Page: 
Korean J Urol. 2011 March; 52(3): 184–188
Year of Publication: 
Mahmoud Mustafa
Department of Urology, Osmaniye State Hospital, Osmaniye, Turkey
Current Affiliation: 
Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
Preferred Abstract (Original): 

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).
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.
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.

How_To_Achieve_Long_Term_Success_In_The_Treatment_of_Female_Urinary_Stress_Incontinence_Novel_Modification_on_Vaginal_Sling(Korean_J_Urol_2011).pdf2.64 MB