Adjusting bladder neck sling length to maximise same-day voiding.
The bladder neck fascial sling may become a more popular procedure if surgical modifications could ensure more rapid postoperative voiding, yet not compromising the 85% long-term cure rate. In a study of 80 women, we found that increasing the distance from the Prolene knot to the rectus fascia, while simultaneously observing the closure of the bladder neck with a cystoscope, resulted in 92% of women voiding the same day and 93% experiencing no stress incontinence at 1 year.
Marinkovic
Sp
S
Division of Urology, Southern Illinois School of Medicine, Springfield, IL 62794, USA. urourogyn@yahoo.com
D003558:Cystoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes / Q000627:therapeutic use; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control*; D019919:Prosthesis Implantation / Q000379:methods*; D012007:Rectum / Q000601:surgery; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D016055:Urinary Retention / Q000517:prevention & control*; D014554:Urination / Q000502:physiology; D013520:Urologic Surgical Procedures / Q000379:methods*; D014621:Vagina / Q000601:surgery
D011126:Polypropylenes