title: Pubovaginal sling with a low-cost polypropylene mesh.
abstract: OBJECTIVE
  The aim of this study was to present the results of pubovaginal sling with a low-cost polypropylene mesh in the treatment of stress urinary incontinence.
  
  
  METHODS
  118 women diagnosed with stress urinary incontinence (SUI) due to urethral hypermobility or intrinsic sphincteric deficiency, treated with pubovaginal sling (PVS) with a low-cost polypropylene mesh confectioned by the surgeon, were analyzed. All patients had a basic evaluation that included a medical history, physical examination, stress tests and urodynamic investigation.
  
  
  RESULTS
  The average follow up was of 42 months. Urethral hypermobility was observed in 67% of the cases. The process was carried out on an outpatient basis on 67 patients. Intra-operative complications included 4 vesical injuries, treated with catheterization for 3 days. There were 13 early complications, of which 8 were urinary retentions treated with vesical drainage for 1 to 3 weeks and 3 vaginal extrusions of the mesh treated with covering of the sections with mucous membrane. There was a need for 6 urethrolysis in patients who presented irritative and postoperative obstructive symptoms; 81.3% of the patients were considered cured, while 9.3% had significant improvement. Three initially unsuccessful cases required sling reconfiguration. All cases were eventually cured.
  
  
  CONCLUSIONS
  The construction of a pubovaginal sling using a low-cost polypropylene mesh is a safe and effective technique for the relief of SUI. It should be considered an alternative, especially for patients in public health systems with low financial resources.
authors.affiliation: Service of Urology, Brasilia University Hospital, Brasilia, DF, Brazil. fransber.rodrigues@sbu.org.br
authors.forename: Fransber R
authors.initials: FR
authors.lastname: Rodrigues
authors.forename: Romulo
authors.initials: R
authors.lastname: Maroccolo Filho
authors.forename: Roberto R
authors.initials: RR
authors.lastname: Maroccolo
authors.forename: Lucio C
authors.initials: LC
authors.lastname: Paiva
authors.forename: Fernando A
authors.initials: FA
authors.lastname: Diaz
authors.forename: Eduardo C
authors.initials: EC
authors.lastname: Ribeiro
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes / Q000191:economics / Q000627:therapeutic use*; D012189:Retrospective Studies; D013526:Surgical Mesh / Q000191:economics*; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics
chemical_list: D011126:Polypropylenes