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The surgical results of the pubovaginal sling procedure using polypropylene mesh for stress urinary incontinence.
BJU Int. 2001 Dec; 88(9):884-8.BI

Abstract

OBJECTIVE

To investigate the surgical results after a pubovaginal sling procedure using polypropylene mesh in women with stress urinary incontinence (SUI).

PATIENTS AND METHODS

Sixty-four women with different types of SUI underwent a pubovaginal sling procedure, using polypropylene mesh. The sling was placed at the level of the proximal half of the urethra and tied with adequate tension, but not obstructing the bladder outlet. A video-urodynamic study and transrectal ultrasonography were undertaken before and after surgery. The surgical results were assessed and the urodynamic changes compared at different stages.

RESULTS

At a median follow-up of 24 months, 52 patients (81%) were completely continent, 10 (16%) had an improvement but with mild SUI, and two had persistent SUI requiring a second sling procedure. The treatment result was considered satisfactory by 55 patients (86%). The video-urodynamic study showed no significant change in voiding pressure, cystometric capacity and residual urine volume after surgery. The bladder neck opening time was increased at 7 days and the maximum flow rate increased at 3 months after surgery. Transrectal ultrasonography showed that all the polypropylene mesh slings were located beneath the bladder neck and proximal urethra, with no notable granuloma formation around the sling.

CONCLUSION

The pubovaginal sling procedure is effective in treating female SUI, using polypropylene mesh as the sling material. The video-urodynamic results showed that a pubovaginal sling of polypropylene mesh causes no bladder outlet obstruction when the correct surgical technique is used.

Authors+Show Affiliations

Department of Urology, Buddhist Tzu Chi College of Medicine and General Hospital, Hualien, Taiwan. hck@tzuchi.com.tw

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11851608

Citation

Kuo, H C.. "The Surgical Results of the Pubovaginal Sling Procedure Using Polypropylene Mesh for Stress Urinary Incontinence." BJU International, vol. 88, no. 9, 2001, pp. 884-8.
Kuo HC. The surgical results of the pubovaginal sling procedure using polypropylene mesh for stress urinary incontinence. BJU Int. 2001;88(9):884-8.
Kuo, H. C. (2001). The surgical results of the pubovaginal sling procedure using polypropylene mesh for stress urinary incontinence. BJU International, 88(9), 884-8.
Kuo HC. The Surgical Results of the Pubovaginal Sling Procedure Using Polypropylene Mesh for Stress Urinary Incontinence. BJU Int. 2001;88(9):884-8. PubMed PMID: 11851608.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The surgical results of the pubovaginal sling procedure using polypropylene mesh for stress urinary incontinence. A1 - Kuo,H C, PY - 2002/2/20/pubmed PY - 2002/4/2/medline PY - 2002/2/20/entrez SP - 884 EP - 8 JF - BJU international JO - BJU Int VL - 88 IS - 9 N2 - OBJECTIVE: To investigate the surgical results after a pubovaginal sling procedure using polypropylene mesh in women with stress urinary incontinence (SUI). PATIENTS AND METHODS: Sixty-four women with different types of SUI underwent a pubovaginal sling procedure, using polypropylene mesh. The sling was placed at the level of the proximal half of the urethra and tied with adequate tension, but not obstructing the bladder outlet. A video-urodynamic study and transrectal ultrasonography were undertaken before and after surgery. The surgical results were assessed and the urodynamic changes compared at different stages. RESULTS: At a median follow-up of 24 months, 52 patients (81%) were completely continent, 10 (16%) had an improvement but with mild SUI, and two had persistent SUI requiring a second sling procedure. The treatment result was considered satisfactory by 55 patients (86%). The video-urodynamic study showed no significant change in voiding pressure, cystometric capacity and residual urine volume after surgery. The bladder neck opening time was increased at 7 days and the maximum flow rate increased at 3 months after surgery. Transrectal ultrasonography showed that all the polypropylene mesh slings were located beneath the bladder neck and proximal urethra, with no notable granuloma formation around the sling. CONCLUSION: The pubovaginal sling procedure is effective in treating female SUI, using polypropylene mesh as the sling material. The video-urodynamic results showed that a pubovaginal sling of polypropylene mesh causes no bladder outlet obstruction when the correct surgical technique is used. SN - 1464-4096 UR - https://www.unboundmedicine.com/medline/citation/11851608/The_surgical_results_of_the_pubovaginal_sling_procedure_using_polypropylene_mesh_for_stress_urinary_incontinence_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=1464-4096&date=2001&volume=88&issue=9&spage=884 DB - PRIME DP - Unbound Medicine ER -