[Clinical research of a butterfly shaped mesh in the treatment of stress urinary incontinence].
OBJECTIVE
To investigate the effect of a butterfly shaped mesh in treatment of stress urinary incontinence (SUI).


METHODS
From July 2003 to January 2004, 82 patients with SUI were treated with a butterfly shaped mesh. All patients were followed up at 1st, 3rd, 6th month after operation. According to their complaints, the cure standard of urinary incontinence is that the patient can control micturate by herself. The improved is that the times and volume of urinary incontinence is less than before. The inefficacy is that the patients' symptoms is not improved even more than before.


RESULTS
All patients were operated under local anesthesia. Mean operation time was (27 +/- 9) min, and mean blood loss was (21 +/- 6) ml. Seventy two patients were able to micturate spontaneously at 2nd hour after operation and the volume of residual urine was less than 100 ml after 24 hour behind operation. They were discharged on the next day. 10 patients, an in-dwelling catheter had been used for 48 hours because the volume of residual urine was more than 100 ml. Seventy eight of 82 patients had no signs of stress incontinence. The remaining 4 patients with apoplexy history showed leakage of urine slightly. But their signs were improved obviously after a month. Seventy six patients had been followed up for from 1 to 6 month: 74 patients were completely cured, and the other 2 patients were improved. No urine retention, infection or bladder dysfunction were observed.


CONCLUSIONS
A butterfly shaped mesh is effective, simple and safe procedure to treat stress urinary incontinence.
Fan
Bo-zhen
BZ
Department of Obstetrics and Gynecology, Tongji Hospital, Tongji University, Shanghai 200065, China.
Xia
Hong
H
Chen
Xin-liang
XL
Zhao
Yong-feng
YF
Li
Huai-fang
HF
Tong
Xiao-wen
XW
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D052858:Cystocele / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D053825:Suburethral Slings; D001745:Urinary Bladder Diseases / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*