ISSN:
1433-3023
Keywords:
Urinary stress incontinence
;
Fascial sling plasty
;
Long-term results
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract In a retrospective study 108 patients (average age: 56.5 years) could be evaluated, who were treated with a fascial sling plasty because of pure genuine stress incontinence (n=90) or combined stress/urge incontinence (n=18). 72 patients (66.6%) had recurrent incontinence after previous surgery. The average follow-up was 5 years. Patients without previous surgery related to urinary incontinence (n=36) showed the best results and remained continent in 78% (n=28). Patients with 1 to 4 (average 1.4) previous surgical procedures because of incontinence (n=52) remained continent in 62% (n=32), and in those who had between 1 and 6 (average 3.6) previous surgical procedures using even alloplastic material the continence rate dropped to 60% (n=12). In patients with pure genuine stress incontinence the overall success rate was 74.7%, whereas in cases with a proven preoperative urge component, the success rate dropped to 37%. Fascial sling plasty is a very useful procedure to treat patients with primary and especially recurrent urinary incontinence, when a functional urethra is missing. However, one has to be very cautious with patients in whom a preoperative urodynamic evaluation shows detrusor instability.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00372338
