title: Clinical outcome of fascial slings for female stress incontinence.
abstract: We studied 27 women with urodynamically proven stress urinary incontinence who had undergone surgery using fascial sling technique. During a mean follow-up of 20 months, all patients were continent. We observed a significant statistical reduction of urge symptoms. De novo detrusor hyperactivity and sensitive urgency were observed in 7.4% and 3.7% of patients, respectively. Two patients developed urinary flow problems. One patient had a bladder perforation during dissection. Urinary retention was observed in 3.7% and resolved spontaneously in 48 hours. We conclude that in the treatment of female urinary stress incontinence, slings promote clinical cure with few complications.
authors.affiliation: Department of Obstetrics and Gynecology, Universidade de Sao Paulo.
authors.forename: Patricia
authors.initials: P
authors.lastname: de Rossi
mesh_terms: D000071938:Fasciotomy; D005260:Female; D006801:Humans; D011183:Postoperative Complications; D012008:Recurrence; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014555:Urination Disorders / Q000209:etiology; D014563:Urodynamics; D013520:Urologic Surgical Procedures