Long-term follow-up of polypropylene bone anchored slings.
BACKGROUND
The transvaginal bone anchored polypropylene sling (BAS) has proven to be a successful treatment for patients with SUI. However, there is limited data on long-term outcomes following BAS with polypropylene mesh. We report our series of patients who had at least 3 years of follow-up after placement of BAS.


METHODS
A retrospective review of prospectively collected data of patients undergoing BAS for stress urinary incontinence (SUI) with minimum 3 year follow-up was performed. Outcomes and complications were determined from annual mailed post-operative questionnaires.


RESULTS
142 patients who had undergone BAS and had answered post-operative questionnaires at a minimum of 3 years were identified. Average follow-up was 58 months (range 36-97 months). The overall success rate was 71 % with a dry rate of 27 %. Complications occurred in 9 % of patients, more commonly in patients without a history of anti-incontinence procedure.


CONCLUSIONS
Although less commonly used, BAS with polypropylene mesh is associated with an acceptable success rate at long term follow-up but a low completely dry rate.
Section of Urology and Renal Transplantation, Virginia Mason Medical Center, Seattle, WA, USA.
Bhavin N
BN
Patel
Emma
E
Longo
Fred E
FE
Govier
Kathleen C
KC
Kobashi
Alvaro
A
Lucioni
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes / Q000627:therapeutic use*; D011183:Postoperative Complications; D012189:Retrospective Studies; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D053441:Suture Anchors; D013997:Time Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*
D011126:Polypropylenes