Modified insitu vaginal wall sling in stress incontinence.
To assess the efficacy of a modified technique in stress incontinence, that is vaginal wall sling reinforced with two layers of vaginal wall sutured inferiorly. 27 patients with Type II incontinence, 4 with Type III and 14 with mixed type who completed two years follow up were included into the study. Cure, improvement and failure rates were 84.4%, 8.9% and 6.7% respectively. Temporary retention is observed in 30 of the patients, vaginal stenosis and pelvic pain in 1 and suture granuloma in 5 of the patients. Reinforced insitu vaginal wall sling which gives additional support to urethral hammock inferiorly offers a better solution to both types of stress incontinence.
Metin
A
A
Urology Clinics of TCDD Ankara Hospital, Turkey. drmetin@anet.net.tr
Kayigil
O
O
Ahmed
S I
SI
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D013536:Suture Techniques; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods; D014621:Vagina / Q000601:surgery*