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International Urogynecology Journal

Published in:

01-08-2013 | Original Article

An inelastic retropubic suburethral sling in women with intrinsic sphincter deficiency

Authors: Alfredo Jijon, Aparna Hegde, Beatriz Arias, Vivian Aguilar, G. Willy Davila

Published in: International Urogynecology Journal | Issue 8/2013

Abstract

Introduction and hypothesis

We evaluated outcomes of an inelastic retropubic sling in patients with intrinsic sphincteric deficiency (ISD).

Methods

This is a retrospective review of women diagnosed with ISD according to urodynamic parameters who underwent a retropubic suburethral sling surgery using a tape with minimal elasticity. All patients in the study where followed up at 2, 6, and 24 weeks and yearly. Outcome measures included self-assessed satisfaction, daily incontinence episodes and pad usage, standardized stress test, postvoid residual volume, and surgical complications.

Results

Two hundred and forty-seven patients were involved in this study, with a median follow-up of 43 [interquartile range (IQR) 22–77] weeks and a minimum of 12 weeks. Two patients (0.008 %) had a positive stress test postoperatively. There was a decrease in daily incontinence events (median 1.5–0) (p < 0.001) and pad usage per day (median 1.5–0) (p < 0.001). Two hundred and sixteen (87.4 %) patients reported subjective improvement in symptoms. Urinary retention was found in 18 (7.2 %) patients, and 19 (7.7 %) patients required reintervention, mostly with bulking agent injections for persistent incontinence. No tape-related mesh exposures were reported.

Conclusion

Retropubic suburethral inelastic slings represent a good option for treating patients with ISD, with satisfactory continent rates and low postoperative complications.

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Title: An inelastic retropubic suburethral sling in women with intrinsic sphincter deficiency
Authors: Alfredo Jijon
Aparna Hegde
Beatriz Arias
Vivian Aguilar
G. Willy Davila
Publication date: 01-08-2013
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 8/2013
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-2007-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

An inelastic retropubic suburethral sling in women with intrinsic sphincter deficiency

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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