The Gore-tex sling procedure for female sphincteric incontinence: indications, technique, and results
| Autor: | David S. Breslin, David R. Staskin, Jong M. Choe |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Nephrology
medicine.medical_specialty Sling procedure Stress incontinence Sling (implant) Time Factors Urology Urinary system Urinary Incontinence Stress Urinary incontinence Urethra Internal medicine medicine Humans Polytetrafluoroethylene Retrospective Studies business.industry Suture Techniques Soft tissue Prostheses and Implants medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Vagina Female medicine.symptom business Follow-Up Studies |
| Zdroj: | World journal of urology. 15(5) |
| ISSN: | 0724-4983 |
| Popis: | We constructed a pubovaginal sling using the Gore-tex Soft Tissue Patch and 2-0 polytetrafluoroethylene (PTFE) suspension suture and placed it in 122 consecutive incontinent women with urethral hypermobility and/or intrinsic sphincter deficiency. We performed a retrospective outcome analysis using a questionnaire-based telephone survey. The mean follow-up period was 24.4 months. Stress incontinence was cured in 88% of patients (equally effective in type II and type III incontinence), de novo postoperative urinary frequency occurred in 32% of cases, and preoperative urinary frequency resolved postoperatively in 51% of patients. Significant urinary obstruction occurred in 5% of patients. Vaginal granulation tissue with exposed sling occurred in 4% of patients. There was no urethral or bladder erosion. The treatment of female stress incontinence with a PTFE sling is effective and durable with minimal complications. Furthermore, this technique addresses many of the presumed technical shortcomings of endoscopic needle suspensions. |
| Databáze: | OpenAIRE |
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