An inexpensive polypropylene patch sling for treatment of intrinsic sphincteric deficiency.
OBJECTIVE
To evaluate an inexpensive polypropylene sling in patients with intrinsic sphincteric deficiency (ISD).


METHODS
Case series (Canadian Task Force classification II-2).


METHODS
Cleveland Clinic Florida teaching hospital.


METHODS
Analysis of 161 patients with ISD who underwent a surgeon-assembled polypropylene (Prolene) patch sling procedure.


METHODS
Polypropylene patch sling surgery was performed in all study patients with urinary stress incontinence due to ISD.


RESULTS
All patients underwent urogynecologic evaluation including multichannel urodynamics. Outcome measures included a standardized stress test, patient-reported cure rate, surgical complications, and postoperative voiding dysfunction. Medical records for the 161 patients who underwent the procedure were available for review. Mean patient age was 62.4 years. Twenty-five patients (16%) had concomitant detrusor overactivity. Mean follow-up was 3.6 years. The stress test yielded negative findings in 93.4% of patients. Complete continence was reported by 80.3% of patients, and marked improvement by 7%. The estimated cost of the sling was $17 to $272, depending on the materials used. Two patients experienced urinary retention requiring urethrolysis. Three required sling revision because of healing problems.


CONCLUSIONS
Use of a polypropylene patch sling is an effective treatment for ISD and is less expensive than currently available sling kits.
Arias
Beatriz
B
Cleveland Clinic Florida, Weston, FL 33331, USA.
Smith
Aimee L
AL
Raders
James
J
Aguirre
Oscar A
OA
Davila
G Willy
GW
D005260:Female; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D011474:Prosthesis Design; D012189:Retrospective Studies; D053825:Suburethral Slings; D014521:Urethra / Q000503:physiopathology / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*
D011126:Polypropylenes