title: [Stress urinary incontinence surgical treatment with suburethral suprapubic SPARC sling].
abstract: BACKGROUND
  Stress urinary incontinence (SUI) has a high incidence and important morbidity. Multiple surgical techniques have been described to treat it, with despair results. Suburethral slings have become, in recent years, a simpler and less invasive method to treat SUI surgically.
  
  
  METHODS
  The purpose of this paper is to review, retrospectively, 86 patients treated at our institution, from 10/01 to 12/05 of SUI, with a suprapubic suburethral sling (SPARC).
  
  
  RESULTS
  Medium (range) age is 58.7 (39-80), hospital stay was 2.43 d (1-8) and catheter was removed 1.52 d (1-10). 14.5% of patients underwent other vaginal surgeries at same time, most frequently anterior colpoperineoplasty (10.7%). Complications are not very frequent; bladder perforation (5.8%), acute urinary retention (7%), chronic urinary retention (3.5%) and UTI (15.3%). Sling release was performed in 3.5% of women with chronic urinary retention. Total continence was found in 71.4% of patients with 10.1 months medium follow up (1-32). De novo urge symptoms were found in 26.2% of women, with urge incontinence in 54.5% of them. (p < 0.002; OR 5.0 (IC 95% 1.75-14.28).
  
  
  CONCLUSIONS
  Suprapubic suburethral SPARC sling is a simple method, with few complications and fast social recovery. Outcome can be measured soon, with a high continence rate. De novo urge symptoms are high and they worsen functional results. It is necessary longer follow-up to evaluate long term outcomes.
authors.affiliation: Servicio de Urología, Hospital Juan Canalejo, La Coruña. ponce@canalejo.org
authors.forename: J
authors.initials: J
authors.lastname: Ponce Díaz-Reixa
authors.forename: A
authors.initials: A
authors.lastname: Barbagelata López
authors.forename: L
authors.initials: L
authors.lastname: Alvarez Castelo
authors.forename: E
authors.initials: E
authors.lastname: Romero Selas
authors.forename: J
authors.initials: J
authors.lastname: Sánchez Rodríguez-Losada
authors.forename: E
authors.initials: E
authors.lastname: Fernández Rosado
authors.forename: M
authors.initials: M
authors.lastname: Montes Couceiro
authors.forename: M
authors.initials: M
authors.lastname: González Martín
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000601:surgery*