Use of autologous rectus fascia in a new transobturator hybrid sling for treatment of female stress urinary incontinence: A pilot study
| Autor: | Ali Abdel Raheem, Mohamed G. Soliman, Osama M. El-Gamal, Ahmad M. Tawfik |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Stress incontinence medicine.medical_specialty Sling (implant) Urinary Incontinence Stress Urology medicine.medical_treatment Rectus Abdominis Pilot Projects Physical examination Urinary incontinence Pelvic Pain Polypropylenes Fasciotomy Surveys and Questionnaires medicine Humans Fascia Suburethral Slings Groin medicine.diagnostic_test Urinary retention business.industry Incidence Pelvic pain Middle Aged Urinary Retention medicine.disease Surgery Urodynamics Dyspareunia Treatment Outcome medicine.anatomical_structure Nephrology Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Scandinavian Journal of Urology. 47:57-62 |
| ISSN: | 2168-1813 2168-1805 |
| Popis: | Objective.This article reports the early results of a novel sling used for the treatment of female stress urinary incontinence (SUI). This sling has a piece of autologous rectus fascia in its middle part and two arms of polypropylene mesh. Material and methods. The study included 44 women with SUI. The preoperative work-up involved complete history taking, physical examination, cough stress test (CST) and 1 h pad weight test (PWT). Two questionnaires, the Urogenital Distress Inventory – Short Form (UDI-6) and the Incontinence Impact Questionnaire – Short Form (IIQ-7), were also completed preoperatively. The previously described sling was then inserted via the transobturator route in all patients. Postoperatively, the previous work-up was repeated for objective evaluation of the procedure and the subjective improvement was assessed by the Patient Global Impression of Improvement scale. Results.At the end of the first year, 92.9% of the patients had a negative CST, 85.7% had 1 h PWT |
| Databáze: | OpenAIRE |
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