title: Is the efficacy of in situ vaginal wall slings decreasing in the late follow-up?
abstract: BACKGROUND
  The aim of this study was to assess the efficacy of in situ vaginal wall sling operations in the late follow-up period.
  
  
  METHODS
  In situ vaginal wall sling procedure was performed in 203 women with type II stress urinary incontinence between 1996 and 2003. Of these 203 patients, 105, 64 and 23 of them completed 3, 4 and 5 years follow-up evaluations, respectively, and were included in the study. Preoperative evaluations included physical examination, Bonney and Q-Tip tests, cystoscopic examination, and filing and voiding cystometry with pressure flow studies followed by abdominal leak point measurements.
  
  
  RESULTS
  The cure, improvement and failure rates were found to be 80.9, 2.9 and 16.2% after 3 years follow-up, 65.7, 10.9 and 23.4% after 4 years follow-up and 60.8, 8.7 and 30.4% after 5 years follow-up. Temporary retention (21.6%), suture granuloma (2.9%) and pelvic pain (1.9%) were some of the complications we met following surgery.
  
  
  CONCLUSIONS
  We observed a yearly trend of decrease in efficacy.
authors.affiliation: Urology Clinics of Abant Izzet Baysal Medical Faculty, Bolu, Turkey. drmetin@anet.net.tr
authors.forename: Ahmet
authors.initials: A
authors.lastname: Metin
authors.forename: Onder
authors.initials: O
authors.lastname: Kayigil
authors.forename: S Iftekhar
authors.initials: SI
authors.lastname: Ahmed
authors.forename: Ali Fuat
authors.initials: AF
authors.lastname: Atmaca
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D015745:Granuloma, Foreign-Body / Q000453:epidemiology; D006801:Humans; D008875:Middle Aged; D017699:Pelvic Pain / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D016055:Urinary Retention / Q000453:epidemiology; D013520:Urologic Surgical Procedures / Q000379:methods; D014621:Vagina / Q000601:surgery*