[Treatment of female urinary stress incontinence with a Zoedler suspension-plasty and a new, stable, radiopaque polyester sling].
We report on 183 patients with urinary stress incontinence treated with bladder-neck suspension plasty according to Zoedler from 1972-1982 using the conventional nylon sling. 86.1% of the patients were continent postoperatively. Long term follow-up to 10 years however showed a continuous decrease of success rate in the first 2 postoperative years (74.9% in the 1st, 67.2% in the 2nd year). From the 3rd postoperative year there was a stable continence-rate of 50.7%. As the significant increase of incontinence relapse is due to enzymatic destruction of the nylon sling--first described in ophtalmology--we developed a new form-stable and radiopaque polyester sling. Since 1983 we implanted this new sling in 40 patients. Long term results of the conventional Zoedler procedure and first results of a modified method using the new polyester sling are discussed.
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009757:Nylons; D011091:Polyesters; D011183:Postoperative Complications / Q000601:surgery; D019736:Prostheses and Implants; D012008:Recurrence; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014621:Vagina / Q000601:surgery
D009757:Nylons; D011091:Polyesters
Die Behandlung der weiblichen Harnstressinkontinenz mit der Suspensionsplastik nach Zoedler und einem neuen, formstabilen, röntgenfähigen Polyesterband.