Outcomes of bone anchored in situ vaginal wall sling in the treatment of female stress urinary incontinence and literature review
Küçük Resim Yok
Tarih
2004
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Introduction: In this study, we aimed to evaluate outcomes of in situ vaginal wall sling operation combined with Vesica bone anchors that was performed for the treatment of women with stress urinary incontinence. Materials and Methods: Postoperative outcomes of 51 women who underwent this modified sling procedure between 1996 and 1999 were compared with the results in the literature in terms of the efficacy and safety. Results: Mean age was 48.6 (range 29-68). Eight patients had mixed (stress+urge) incontinence preoperatively. Follow-up ranged from 12 to 36 (mean 23.7) months. The sling operation was the single procedure in 43 (84.3%) patients while cystocele repair was combined with sling procedure in 8. Incontinence was cured in 47 (92.1%) patients. Procedure failed in 4 (7.9%) patients. Two of these achieved dryness following re-operation with same technique. Mean suprapubic pain score at postoperative day 1 according to visual analogous scale scored between 0 and 10 was 3.86±1.18. Rates of the de novo detrusor instability and temporary urinary retention, and mean catheterization time were 27.4%, 5.9%, and 3 days, respectively. No patient remained in permanent retention or required intermittent catheterization. Intraoperative bladder perforation, postoperative suprapubic abscess, and suprapubic wound infection were encountered in 3, 1, and 3 patients, respectively. Osteitis pubis, osteomyelitis, and urethral erosion were experienced in no patients. Conclusions: At relatively short follow-up period, a satisfactory success and low complication rates were obtained with in situ vaginal wall sling in the present series. This operation technique is an easy applicable method and allows concomitant vaginal procedures.
Açıklama
Anahtar Kelimeler
Bone anchor, Female stress urinary incontinence, Surgical treatment
Kaynak
Turk Uroloji Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
30
Sayı
3
