The suprapubic arch sling procedure for treatment of stress urinary incontinence: a 5-year retrospective study.
BACKGROUND
Up to now, numerous similar products concerning the surgical treatment of female stress urinary incontinence (SUI) have been developed.


OBJECTIVE
To assess the long-term efficacy and safety of the suprapubic arch (SPARC) sling system in women with SUI.


METHODS
This was a long-term retrospective study. All patients underwent a comprehensive pre- and postoperative evaluation. Forty-six women were available for clinical follow-up investigation after SPARC sling placement.


METHODS
Eighty-six women with SUI and a positive cough test underwent SPARC sling placement between June 2001 and January 2004.


METHODS
At follow-up all 46 patients underwent a cough test, a pad test, uroflowmetry, and sonographic postvoid residual volume measurement. Women rated their subjective continence status (continent, slightly incontinent, incontinent) and were asked if they would undergo the procedure again and if they would recommend it to a friend. Objective cure was defined as a pad weight 0-1g and a negative cough test. Subjective cure was defined as no use of pads.


CONCLUSIONS
The median follow-up was 5.2 yr. The objective cure rate was 76%; the subjective cure rate was 52%. Sixty-three percent of the patients rated themselves as continent, 33% as slightly incontinent, and 4% as severely incontinent. Most of the women (98%) would recommend the SPARC procedure to a friend and would undergo the procedure again.


CONCLUSIONS
The SPARC sling system is an effective and safe procedure for the treatment of female SUI. Patient satisfaction is independent of complete dryness.
Heidler
Stefan
S
Department of Urology, Medical University Graz, Austria. stefanheidler@ymail.com
Ofner-Kopeinig
Petra
P
Puchwein
Erika
E
Pummer
Karl
K
Primus
Guenter
G
D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D053825:Suburethral Slings; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods