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International Urogynecology Journal

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01.08.2013 | Original Article

An inelastic retropubic suburethral sling in women with intrinsic sphincter deficiency

verfasst von: Alfredo Jijon, Aparna Hegde, Beatriz Arias, Vivian Aguilar, G. Willy Davila

Erschienen in: International Urogynecology Journal | Ausgabe 8/2013

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Abstract

Introduction and hypothesis

We evaluated outcomes of an inelastic retropubic sling in patients with intrinsic sphincteric deficiency (ISD).

Methods

This is a retrospective review of women diagnosed with ISD according to urodynamic parameters who underwent a retropubic suburethral sling surgery using a tape with minimal elasticity. All patients in the study where followed up at 2, 6, and 24 weeks and yearly. Outcome measures included self-assessed satisfaction, daily incontinence episodes and pad usage, standardized stress test, postvoid residual volume, and surgical complications.

Results

Two hundred and forty-seven patients were involved in this study, with a median follow-up of 43 [interquartile range (IQR) 22–77] weeks and a minimum of 12 weeks. Two patients (0.008 %) had a positive stress test postoperatively. There was a decrease in daily incontinence events (median 1.5–0) (p < 0.001) and pad usage per day (median 1.5–0) (p < 0.001). Two hundred and sixteen (87.4 %) patients reported subjective improvement in symptoms. Urinary retention was found in 18 (7.2 %) patients, and 19 (7.7 %) patients required reintervention, mostly with bulking agent injections for persistent incontinence. No tape-related mesh exposures were reported.

Conclusion

Retropubic suburethral inelastic slings represent a good option for treating patients with ISD, with satisfactory continent rates and low postoperative complications.

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Titel: An inelastic retropubic suburethral sling in women with intrinsic sphincter deficiency
verfasst von: Alfredo Jijon
Aparna Hegde
Beatriz Arias
Vivian Aguilar
G. Willy Davila
Publikationsdatum: 01.08.2013
Verlag: Springer London
Erschienen in: International Urogynecology Journal / Ausgabe 8/2013
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-2007-5

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Springer Medizin

An inelastic retropubic suburethral sling in women with intrinsic sphincter deficiency

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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Springer Medizin

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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