The polypropylene pubovaginal sling for the treatment of recurrent stress urinary incontinence.

Abstract

PURPOSE:

The significance of a 2-team approach to the problems of recurrent incontinence in patients with extensive pelvic scarring from previous surgery is emphasized.

MATERIALS AND METHODS:

We reviewed 88 consecutive patients who presented between January 1986 and November 1992. The demonstration of a scarred, wide open, proximal urethra or drain pipe urethra was the important selection criterion. Two teams, 1 operating abdominally and 1 vaginally, released the bladder neck from its bed of scar under direct vision and set the sling in place with minimal tension at the bladder neck.

RESULTS:

Of the women 75 (85.2%) were cured of the stress urinary incontinence and 8 (9.1%) had improvement with mainly urge incontinence, while 5 (5.7%) operations failed. There was a significant association between chronic chest disease and failure.

CONCLUSIONS:

The 2-team polypropylene (Marlex) mesh approach continues to be an effective treatment for women with complicated stress urinary incontinence.

• Authors: J E Morgan, D M Heritz, F E Stewart, J C Connolly, G A Farrow
• Journal: The Journal of urology (J Urol) Vol. 154 Issue 3 Pg. 1013-4; discussion 1015-6 (Sep 1995) ISSN: 0022-5347 [Print] United States
• PMID: 7637044 (Publication Type: Journal Article)

Chemical References

• Plastipore
• Polyethylenes
• Polypropylenes

Topics

• Adult
• Aged
• Aged, 80 and over
• Female
• Follow-Up Studies
• Humans
• Methods
• Middle Aged
• Polyethylenes
• Polypropylenes
• Recurrence
• Surgical Mesh
• Thoracic Diseases (complications)
• Treatment Outcome
• Urinary Bladder (surgery)
• Urinary Incontinence, Stress (complications, surgery)
• Vagina