title: Modified pubovaginal sling technique in the surgical management of female stress urinary incontinence.
abstract: OBJECTIVE
  To assess the application of aponeurotic sling by a modified technique with direct visualization of needles in patients with stress urinary incontinence.
  
  
  METHODS
  we applied the Kings Health Questionnaire (KHQ) for quality of life, gynecological examination, urinalysis I and urine culture approximately seven days prior to the urodynamic study (UDS) and the one-hour PAD test in patients undergoing making aponeurotic sling with its passing through the retropubic route with direct visualization of the needle, PAD test and King's Health Questionnaire before and after surgery.
  
  
  RESULTS
  The mean age was 50.6 years, BMI of 28 and Leak Pressure (LP) 58,5 cm H2O; 89% were Caucasian. Forty-six of them were monitored for three and six months, 43 for 12 months. The objective cure rate at 12 months postoperatively was approximately 93.5%. In evaluating quality of life, we observed a significant improvement in 12 months postoperatively compared with the preoperative period. There was no no urethral/bladder injury. As adverse results, we had one persistent urinary retention (2.3%), who was submitted to urethrolysis, currently without incontinence.
  
  
  CONCLUSIONS
  The proposed procedure is safe as for the risk of bladder or urethral injuries, promoting significant improvement in quality of life and objective cure.
authors.affiliation: Faculdade de Ciências Médicas, Santa Casa de São Paulo, Brasil.
authors.forename: Armando Brites
authors.initials: AB
authors.lastname: Frade
authors.affiliation: Faculdade de Ciências Médicas, Santa Casa de São Paulo, Brasil.
authors.forename: Camila Luz
authors.initials: CL
authors.lastname: Frade
authors.affiliation: Faculdade de Ciências Médicas, Santa Casa de São Paulo, Brasil.
authors.forename: Thäis Gentil
authors.initials: TG
authors.lastname: Leite
authors.affiliation: Faculdade de Ciências Médicas, Santa Casa de São Paulo, Brasil.
authors.forename: Thalita Russo
authors.initials: TR
authors.lastname: Domenich
authors.affiliation: Faculdade de Ciências Médicas, Santa Casa de São Paulo, Brasil.
authors.forename: Antonio Pedro Flores
authors.initials: AP
authors.lastname: Auge
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D053825:Suburethral Slings; D016896:Treatment Outcome; D014521:Urethra; D014549:Urinary Incontinence; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics