title: Midline intravaginal slingplasty for treatment of urinary stress incontinence: results of an independent audit up to 2 years after surgery.
abstract: Recently, the midline intravaginal slingplasty (anterior IVS) directed at reinforcing the pubourethral ligament was introduced for treatment of urinary stress incontinence. An independent telephone interview to evaluate urinary symptoms and surgery-related changes in quality of life was performed between 12 and 32 months after surgery. Of 52 women initially enrolled, 3 were lost during follow-up. None of the patients experienced infection, rejection or erosion of the tape. The procedure failed in 7 patients whereas in 42 patients cure of stress incontinence was achieved. This was not only verified by clinical examination at initial follow-up but also confirmed by the patients at the time of the interview. Although about two-thirds of the patients reported urge incontinence and/or voiding difficulties during their interview, the validation of the surgery was rather high and only in a minority did urinary complaints translate into reduced quality of life.
authors.affiliation: Centre for Pelvic Reconstructive Surgery, Sydney Adventist Hospital, 185 Fox Valley Road, Wahroonga, NSW, 2076, Australia. mijland@introweb.nl
authors.forename: Marga M
authors.initials: MM
authors.lastname: Ijland
authors.forename: Dagmar-C
authors.initials: DC
authors.lastname: Fischer
authors.forename: Dirk G
authors.initials: DG
authors.lastname: Kieback
authors.forename: Greg
authors.initials: G
authors.lastname: McGrath
authors.forename: Bruce
authors.initials: B
authors.lastname: Farnsworth
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D011788:Quality of Life; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures
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