Is modified in situ vaginal wall sling operation the treatment of choice for recurrent genuine stress incontinence?

Tsung Hsien Su, Jian Pei Huang, Yeou Lih Wang, Jenn Ming Yang, Hsiao Jui Wei, Chun Liang Huang

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19 Citations (Scopus)

Abstract

Purpose: We evaluate objectively the results of a modified in situ vaginal wall sling operation for recurrent genuine stress incontinence and whether it is a substitute for the traditional sling procedure. Materials and Methods: A total of 23 patients with urodynamically proved recurrent genuine stress urinary incontinence were recruited in this study. Patients were treated with a modified needle urethropexy technique using an island of in situ vaginal skin as a sling to support the bladder neck and urethra. Surgical outcome was evaluated subjectively and objectively at a median of 15 months. A total of 42 patients who underwent a traditional polytetrafluoroethylene sling operation served as controls. Results: The cure rate of the vaginal wall sling operation was 34.8% by objective assessment, which was lower than that of the traditional sling procedure (88.1%, p

Original languageEnglish
Pages (from-to)2073-2077
Number of pages5
JournalJournal of Urology
Volume162
Issue number6
Publication statusPublished - Dec 1999
Externally publishedYes

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Keywords

  • Cyst
  • Epithelium
  • Recurrence
  • Urinary stress incontinence

ASJC Scopus subject areas

  • Urology

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