title: Marlex gauze hammock sling operation with Cooper's ligament attachment in the management of recurrent urinary stress incontinence.
abstract: In 1970 Morgan described an operation designed to meet the problem created by scarring and fibrosis resulting from previous operative procedures to the urethra and bladder neck. In the method, a 2 cm wide polypropylene (Marlex) mesh is placed as a broad hammock to elevate and support the urethrovesical junction with lateral attachment at Cooper's ligament. Sixty-nine women operated upon by Morgan's technique have been followed up for 6 months to 8 years. In those with unmixed stress incontinence, 90% were dry at follow-up, whereas in those with a mixture of stress incontinence and symptoms of detrusor disturbance, only 50% were benefited.
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D008722:Methods; D010969:Plastics; D011126:Polypropylenes; D011183:Postoperative Complications; D012008:Recurrence; D013526:Surgical Mesh; D014550:Urinary Incontinence, Stress / Q000601:surgery*
chemical_list: D010969:Plastics; D011126:Polypropylenes