[The "hazards" of using a Gore-Tex sling in the treatment of stress urinary incontinence].
OBJECTIVE
To analyze the use of the Gore-Tex in the treatment of exertion incontinence.


METHODS
During 1991, two gynecology units used the Mouchel technique and a Goebell-Stoeckel type technique in 72 patients with exertion incontinence, alone in 36 and in combination with a cure for prolapsus in 36 others. Results were analyzed with the chi 2 squared test and the Student's test for paired series.


RESULTS
The rate of incontinence was 65% with a range from 60 to 66.7% according to the type of technique used and whether a cure for prolapsus was also performed. Gore-Tex was not well tolerated in 23/72 cases. Rejection was seen in 20 to 37.5% according to the type of vaginal suture and the type of protection.


CONCLUSIONS
The high rate of rejection suggests prudence in using Gore-Tex.
Debodinance
P
P
Service de Gynécologie-Obstétrique, CH Dunkerque, Saint-Pol-sur-Mer.
De Bièvre
P
P
Parmentier
D
D
Dubrulle
R
R
Querleu
D
D
Crépin
G
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection / Q000453:epidemiology; D006801:Humans; D008875:Middle Aged; D011138:Polytetrafluoroethylene / Q000627:therapeutic use*; D019736:Prostheses and Implants; D013536:Suture Techniques; D017211:Treatment Failure; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics
D011138:Polytetrafluoroethylene
Les "aléas" de l'utilisation d'une fronde de Gore-Tex dans le traitement de l'incontinence urinaire d'effort.