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Polypropylene sling for treatment of stress urinary incontinence: an alternative to tension-free vaginal tape.
Tech Urol. 2001 Jun; 7(2):87-9.TU

Abstract

PURPOSE

Sling procedures have been used successfully to treat stress urinary incontinence (SUI). We report our initial experience with the use of a synthetic polypropylene mesh for treatment of SUI. Based on similar surgical principles of cadaveric fascia sling, we describe placement of a thinly woven polypropylene mesh under the distal urethra. We describe our technique and report our initial results.

MATERIALS AND METHODS

There were 146 consecutive patients evaluated. All patients had clinical evidence of SUI. Patients underwent preoperative evaluation with video urodynamics, symptom questionnaire, and cystoscopy. Postoperatively the patients were evaluated at 3-month intervals by symptom questionnaire, physical examination, and postvoid residuals (PVR). One year after the procedure, all patients were asked to fill out a voiding dysfunction and incontinence symptom questionnaire and a validated quality-of-life questionnaire. A flow and PVR also were obtained.

RESULTS

Average intraoperative time was 27 minutes for the sling procedure. There were no intraoperative complications and one major postoperative complication. There was no permanent retention and no erosions. Ninety-two percent of patients had either no or rare stress incontinence. Postoperatively, 7% of patients developed de novo urge incontinence.

CONCLUSION

We describe excellent results with a new simple, quick, and inexpensive method to correct SUI by placing a polypropylene mesh under the distal urethra.

Authors+Show Affiliations

Department of Urology, University of California Los Angeles, 90024, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

11383999

Citation

Rodriguez, L V., et al. "Polypropylene Sling for Treatment of Stress Urinary Incontinence: an Alternative to Tension-free Vaginal Tape." Techniques in Urology, vol. 7, no. 2, 2001, pp. 87-9.
Rodriguez LV, Berman J, Raz S. Polypropylene sling for treatment of stress urinary incontinence: an alternative to tension-free vaginal tape. Tech Urol. 2001;7(2):87-9.
Rodriguez, L. V., Berman, J., & Raz, S. (2001). Polypropylene sling for treatment of stress urinary incontinence: an alternative to tension-free vaginal tape. Techniques in Urology, 7(2), 87-9.
Rodriguez LV, Berman J, Raz S. Polypropylene Sling for Treatment of Stress Urinary Incontinence: an Alternative to Tension-free Vaginal Tape. Tech Urol. 2001;7(2):87-9. PubMed PMID: 11383999.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Polypropylene sling for treatment of stress urinary incontinence: an alternative to tension-free vaginal tape. AU - Rodriguez,L V, AU - Berman,J, AU - Raz,S, PY - 2001/6/1/pubmed PY - 2001/10/12/medline PY - 2001/6/1/entrez SP - 87 EP - 9 JF - Techniques in urology JO - Tech Urol VL - 7 IS - 2 N2 - PURPOSE: Sling procedures have been used successfully to treat stress urinary incontinence (SUI). We report our initial experience with the use of a synthetic polypropylene mesh for treatment of SUI. Based on similar surgical principles of cadaveric fascia sling, we describe placement of a thinly woven polypropylene mesh under the distal urethra. We describe our technique and report our initial results. MATERIALS AND METHODS: There were 146 consecutive patients evaluated. All patients had clinical evidence of SUI. Patients underwent preoperative evaluation with video urodynamics, symptom questionnaire, and cystoscopy. Postoperatively the patients were evaluated at 3-month intervals by symptom questionnaire, physical examination, and postvoid residuals (PVR). One year after the procedure, all patients were asked to fill out a voiding dysfunction and incontinence symptom questionnaire and a validated quality-of-life questionnaire. A flow and PVR also were obtained. RESULTS: Average intraoperative time was 27 minutes for the sling procedure. There were no intraoperative complications and one major postoperative complication. There was no permanent retention and no erosions. Ninety-two percent of patients had either no or rare stress incontinence. Postoperatively, 7% of patients developed de novo urge incontinence. CONCLUSION: We describe excellent results with a new simple, quick, and inexpensive method to correct SUI by placing a polypropylene mesh under the distal urethra. SN - 1079-3259 UR - https://www.unboundmedicine.com/medline/citation/11383999/Polypropylene_sling_for_treatment_of_stress_urinary_incontinence:_an_alternative_to_tension_free_vaginal_tape_ L2 - https://www.diseaseinfosearch.org/result/3797 DB - PRIME DP - Unbound Medicine ER -