Efficacy and complications in the surgical treatment of stress urinary incontinence by insertion of a silicone-coated polyester tape (Lift).
OBJECTIVE
To evaluate the efficacy and safety of a surgical treatment for stress urinary incontinence by implantation of a silicone-coated polyester tape (Lift).


METHODS
This retrospective study included 72 female patients having had a suburethral silicone-coated polyester tape inserted as treatment for stress urinary incontinence, combined or not with pelvic surgery. We recorded the patient's characteristics, the surgical procedure, the short and long-term results and complications.


RESULTS
Seventy-two patients were operated, 60 of whom were fully evaluated. The average follow-up was 17 months. On 48 patients (80%) the treatment was successful, 3 (5%) were improved, and 9 (15%) were regarded as a failure. Dysuria occurred in six (10%) patients, five were de novo, and one was persistent. Ten patients (16.6%) presented de novo urge incontinence. The main complication was a higher rate of severe infections, accompanied by defective healing (4, i.e. 6.7%).


CONCLUSIONS
The procedure using a silicone-coated polyester tape seems to be efficient, but insufficiently secure. This higher rejection rate leads us to prefer other synthetic materials proved to be better tolerated.
Girard
J-M
JM
Pôle de Chirurgie Gynécologie, Hôpital Jeanne de Flandre, CHRU de Lille, 1 rue Eugène Avinée, 59037 Lille Cedex, France. juliemg2003@yahoo.fr
Deruelle
P
P
Collinet
P
P
Lucot
J-P
JP
Therby
D
D
Cosson
M
M
D020099:Coated Materials, Biocompatible / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007239:Infections / Q000209:etiology*; D008875:Middle Aged; D011091:Polyesters; D019736:Prostheses and Implants / Q000009:adverse effects*; D012189:Retrospective Studies; D012828:Silicones; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014555:Urination Disorders / Q000209:etiology*; D013520:Urologic Surgical Procedures
D020099:Coated Materials, Biocompatible; D011091:Polyesters; D012828:Silicones