Skip to main content
Log in

Clinical and urodynamic re-evaluation of combined abdominovaginal Marlex sling operations for recurrent stress urinary incontinence

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Sixty-five women underwent combined abdominovaginal Marlex sling procedures for recurrent stress urinary incontinence. Urodynamic evaluation consisted of uroflowmetry and simultaneous pelvic electromyographic (EMG) studies, carbon dioxide cystometry, urethral pressure profilometry, and cystometry and urethroscopy. Cure rates were 75% for urgency incontinence and 95.3% for stress incontinence. The statistically significant improvements in pre- and postoperative urodynamic parameters involved a decrease in uroflow volumes and an increase in urethral functional length, but not in maximum urethral closure pressure. Bladder capacity remained unchanged.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hohenfellner R, Petri E. Sling procedures. In Stanton SL, Tanagho EA, eds. Surgery of female incontinence. Berlin Heidelberg New York: Springer-Verlag 1980; 69–76

    Google Scholar 

  2. Bryans FE. Marlex gauze hammock sling operation with Cooper's ligament attachment in the management of recurrent urinary stress incontinence.Am J Obstet Gynecol 1979; 133:292–294

    Google Scholar 

  3. Morgan JE. A sling operation using Marlex polypropylene mesh, for treatment of recurrent stress incontinence.Am J Obstet Gynecol 1970; 106:369–377

    Google Scholar 

  4. Morgan JE, Farrow GA. Recurrent stress urinary incontinence in the female.Br J Urol 1977; 49:37–42

    Google Scholar 

  5. Drutz HP, Shapiro BJ, Mandel F. Do static cystourethrograms have a role in the investigation of female incontinence?Am J Obstet Gynecol 1978; 130:516–520

    Google Scholar 

  6. Drutz HP, Mandel F. Urodynamic analysis of urinary incontinence symptoms in women.Am J Obstet Gynecol 1979: 134:789–792

    Google Scholar 

  7. Rud T. Urethral pressure profile in continent women from childhood to old age.Acta Obstet Gynecol Scand 1980; 59:331–335

    Google Scholar 

  8. Hilton P, Stanton SC. Clinical and urodynamic evaluation of the polypropylene (Marlex) sling for genuine stress incontinence.Neurourol Urodyn 1983; 2:145–153

    Google Scholar 

  9. Obrink A. Bunne G. The margin of incontinence after 3 types of operations for stress incontinence.Scand J Urol Nephrol 1978; 12:209–214

    Google Scholar 

  10. Hendriksson L, Ulmsten J. A urodynamic evaluation of the effects of abdominal urethrocystopexy and vaginal sling urethroplasty in women with stress incontinence.Am J Obstet Gynecol 1978; 131:77–82

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Drutz, H.P., Buckspan, M., Flax, S. et al. Clinical and urodynamic re-evaluation of combined abdominovaginal Marlex sling operations for recurrent stress urinary incontinence. Int Urogynecol J 1, 70–73 (1990). https://doi.org/10.1007/BF00600023

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00600023

Keywords

Navigation