Tags

Type your tag names separated by a space and hit enter

Broad based tension-free synthetic sling for stress urinary incontinence: 5-year outcome.
J Urol. 2003 Sep; 170(3):849-51.JU

Abstract

PURPOSE

The use of nonabsorbable synthetic material has been questioned due to reports of erosion and infection. We present the 5-year followup outcome of stress urinary incontinence (SUI) treated using polypropylene mesh as a pubovaginal sling.

MATERIALS AND METHODS

A retrospective analysis was performed of 58 consecutive patients who underwent pubovaginal sling procedures using polypropylene mesh since April 1996 for types II and III SUI at our institution. The technique included a single midline anterior vaginal wall incision with full-thickness flaps. Broad based polypropylene mesh was used to support the vesicourethral junction entering the retropubic space through the endopelvic fascia and bone anchors were used for fixation. Patient satisfaction was evaluated during followup office visits and/or telephone interview by an individual not involved in any surgeries. All procedure failures were evaluated by urodynamics.

RESULTS

Of the 58 patients 49 were available for analysis. Average followup was 59.34 months (range 29 to 77). Of the 49 patients 40 (81.63%) were dry and 2 (4.08%) improved (1 pad daily). De novo urgency and urgency related incontinence was reported in 1 case each. Three patients (8.16%) had recurrent SUI, while prolonged retention developed with subsequent urethrolysis required in 2 (4.08%). None of the patients have experienced infection, nonhealing or erosion of the synthetic slings to date.

CONCLUSIONS

In our experience polypropylene mesh used as a broad based tension-free sling was successful for treating all types of SUI. In our opinion technique and case selection have a bearing on outcomes.

Authors+Show Affiliations

Department of Urology, Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

12913714

Citation

Shah, Darshan K., et al. "Broad Based Tension-free Synthetic Sling for Stress Urinary Incontinence: 5-year Outcome." The Journal of Urology, vol. 170, no. 3, 2003, pp. 849-51.
Shah DK, Paul EM, Amukele S, et al. Broad based tension-free synthetic sling for stress urinary incontinence: 5-year outcome. J Urol. 2003;170(3):849-51.
Shah, D. K., Paul, E. M., Amukele, S., Eisenberg, E. R., & Badlani, G. H. (2003). Broad based tension-free synthetic sling for stress urinary incontinence: 5-year outcome. The Journal of Urology, 170(3), 849-51.
Shah DK, et al. Broad Based Tension-free Synthetic Sling for Stress Urinary Incontinence: 5-year Outcome. J Urol. 2003;170(3):849-51. PubMed PMID: 12913714.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Broad based tension-free synthetic sling for stress urinary incontinence: 5-year outcome. AU - Shah,Darshan K, AU - Paul,Elliot M, AU - Amukele,Samuel, AU - Eisenberg,Evan R, AU - Badlani,Gopal H, PY - 2003/8/13/pubmed PY - 2003/9/27/medline PY - 2003/8/13/entrez SP - 849 EP - 51 JF - The Journal of urology JO - J Urol VL - 170 IS - 3 N2 - PURPOSE: The use of nonabsorbable synthetic material has been questioned due to reports of erosion and infection. We present the 5-year followup outcome of stress urinary incontinence (SUI) treated using polypropylene mesh as a pubovaginal sling. MATERIALS AND METHODS: A retrospective analysis was performed of 58 consecutive patients who underwent pubovaginal sling procedures using polypropylene mesh since April 1996 for types II and III SUI at our institution. The technique included a single midline anterior vaginal wall incision with full-thickness flaps. Broad based polypropylene mesh was used to support the vesicourethral junction entering the retropubic space through the endopelvic fascia and bone anchors were used for fixation. Patient satisfaction was evaluated during followup office visits and/or telephone interview by an individual not involved in any surgeries. All procedure failures were evaluated by urodynamics. RESULTS: Of the 58 patients 49 were available for analysis. Average followup was 59.34 months (range 29 to 77). Of the 49 patients 40 (81.63%) were dry and 2 (4.08%) improved (1 pad daily). De novo urgency and urgency related incontinence was reported in 1 case each. Three patients (8.16%) had recurrent SUI, while prolonged retention developed with subsequent urethrolysis required in 2 (4.08%). None of the patients have experienced infection, nonhealing or erosion of the synthetic slings to date. CONCLUSIONS: In our experience polypropylene mesh used as a broad based tension-free sling was successful for treating all types of SUI. In our opinion technique and case selection have a bearing on outcomes. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/12913714/Broad_based_tension_free_synthetic_sling_for_stress_urinary_incontinence:_5_year_outcome_ DB - PRIME DP - Unbound Medicine ER -