Polytetrafluoroethylene patch sling for type 2 or type 3 stress urinary incontinence.
BACKGROUND
Surgical success rates and complications of anti-incontinence surgery were evaluated according to the type of stress incontinence and the type of surgery.


METHODS
From 1989 to 1998, we treated 137 women for stress urinary incontinence with anti-incontinence surgery. Of the 137 patients, 110 had type 2 stress urinary incontinence and 27 had type 3 stress urinary incontinence. Of 110 patients with type 2 stress urinary incontinence, 57 underwent pubovaginal sling procedure and 53 were treated with the Gittes procedure. All of the patients with type 3 stress urinary incontinence underwent the pubovaginal sling procedure.


RESULTS
Cure rates with the pubovaginal sling procedure were 82% in type 2 incontinence and 70% in type 3 incontinence. Cure rates with the Gittes procedure were 56%. The occurrence of de novo urge symptom and pelvic pain was low and bore no relation to either operative method or type of stress incontinence.


CONCLUSIONS
The pubovaginal sling procedure using the polytetrafluoroethylene patch was effective for type 2 or 3 stress urinary incontinence.
Yamada
T
T
Department of Urology, Saitama Medical Center, Saitama Medical School, Saitama, Japan. t_yamada@saitama-med.ac.jp
Kamata
S
S
Nagahama
K
K
Ichiyanagi
N
N
Horiuchi
S
S
Saitoh
H
H
D005260:Female; D006801:Humans; D008875:Middle Aged; D017699:Pelvic Pain / Q000209:etiology; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications; D012008:Recurrence; D011795:Surveys and Questionnaires; D013536:Suture Techniques; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*
D011138:Polytetrafluoroethylene