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Pubovaginal fascial sling for all types of stress urinary incontinence: long-term analysis.
J Urol. 1998 Oct; 160(4):1312-6.JU

Abstract

PURPOSE

There is a lack of consensus regarding indications and long-term efficacy of the many surgical techniques for treating stress incontinence. Historically pubovaginal sling has been reserved for cases of intrinsic sphincter deficiency or prior surgical failure. Transvaginal needle and retropubic suspensions have been used mainly for sphincteric incontinence unassociated with intrinsic sphincter deficiency. We report the long-term results of pubovaginal sling for all types of stress incontinence.

MATERIALS AND METHODS

A total of 251 consecutive women with all types of stress incontinence who underwent pubovaginal fascial sling by a single surgeon were retrospectively and prospectively reviewed. Patients were evaluated preoperatively with history, physical examination, standardized symptom questionnaire, voiding diary, pad test, uroflow, post-void residual urine, video urodynamics and cystoscopy. Postoperatively women with at least 1-year followup were assessed by an independent third party (J. R.) who had no prior knowledge of them, and who recorded the parameters of the questionnaire, examination with a full bladder, voiding diary, pad test, uroflow and post-void residual urine.

RESULTS

Overall stress incontinence was cured or improved in 92% of the patients with at least 1-year followup (median 3.1 years, range 1 to 15). The majority of patients with postoperative incontinence had de novo (3%) or persistent (23%) urge incontinence. Permanent urinary retention developed in 4 patients (2%).

CONCLUSIONS

Fascial pubovaginal sling is an effective treatment for all types of stress incontinence with acceptable long-term efficacy.

Authors+Show Affiliations

Department of Urology, New York Hospital/Cornell Medical Center, New York, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9751343

Citation

Chaikin, D C., et al. "Pubovaginal Fascial Sling for All Types of Stress Urinary Incontinence: Long-term Analysis." The Journal of Urology, vol. 160, no. 4, 1998, pp. 1312-6.
Chaikin DC, Rosenthal J, Blaivas JG. Pubovaginal fascial sling for all types of stress urinary incontinence: long-term analysis. J Urol. 1998;160(4):1312-6.
Chaikin, D. C., Rosenthal, J., & Blaivas, J. G. (1998). Pubovaginal fascial sling for all types of stress urinary incontinence: long-term analysis. The Journal of Urology, 160(4), 1312-6.
Chaikin DC, Rosenthal J, Blaivas JG. Pubovaginal Fascial Sling for All Types of Stress Urinary Incontinence: Long-term Analysis. J Urol. 1998;160(4):1312-6. PubMed PMID: 9751343.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pubovaginal fascial sling for all types of stress urinary incontinence: long-term analysis. AU - Chaikin,D C, AU - Rosenthal,J, AU - Blaivas,J G, PY - 1998/9/29/pubmed PY - 1998/9/29/medline PY - 1998/9/29/entrez SP - 1312 EP - 6 JF - The Journal of urology JO - J Urol VL - 160 IS - 4 N2 - PURPOSE: There is a lack of consensus regarding indications and long-term efficacy of the many surgical techniques for treating stress incontinence. Historically pubovaginal sling has been reserved for cases of intrinsic sphincter deficiency or prior surgical failure. Transvaginal needle and retropubic suspensions have been used mainly for sphincteric incontinence unassociated with intrinsic sphincter deficiency. We report the long-term results of pubovaginal sling for all types of stress incontinence. MATERIALS AND METHODS: A total of 251 consecutive women with all types of stress incontinence who underwent pubovaginal fascial sling by a single surgeon were retrospectively and prospectively reviewed. Patients were evaluated preoperatively with history, physical examination, standardized symptom questionnaire, voiding diary, pad test, uroflow, post-void residual urine, video urodynamics and cystoscopy. Postoperatively women with at least 1-year followup were assessed by an independent third party (J. R.) who had no prior knowledge of them, and who recorded the parameters of the questionnaire, examination with a full bladder, voiding diary, pad test, uroflow and post-void residual urine. RESULTS: Overall stress incontinence was cured or improved in 92% of the patients with at least 1-year followup (median 3.1 years, range 1 to 15). The majority of patients with postoperative incontinence had de novo (3%) or persistent (23%) urge incontinence. Permanent urinary retention developed in 4 patients (2%). CONCLUSIONS: Fascial pubovaginal sling is an effective treatment for all types of stress incontinence with acceptable long-term efficacy. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/9751343/Pubovaginal_fascial_sling_for_all_types_of_stress_urinary_incontinence:_long_term_analysis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-5347(01)62524-2 DB - PRIME DP - Unbound Medicine ER -