An inexpensive polypropylene patch sling for treatment of intrinsic sphincteric deficiency

Journal of Minimally Invasive Gynecology
Beatriz AriasG Willy Davila

Abstract

To evaluate an inexpensive polypropylene sling in patients with intrinsic sphincteric deficiency (ISD). Case series (Canadian Task Force classification II-2). Cleveland Clinic Florida teaching hospital. Analysis of 161 patients with ISD who underwent a surgeon-assembled polypropylene (Prolene) patch sling procedure. Polypropylene patch sling surgery was performed in all study patients with urinary stress incontinence due to ISD. All patients underwent urogynecologic evaluation including multichannel urodynamics. Outcome measures included a standardized stress test, patient-reported cure rate, surgical complications, and postoperative voiding dysfunction. Medical records for the 161 patients who underwent the procedure were available for review. Mean patient age was 62.4 years. Twenty-five patients (16%) had concomitant detrusor overactivity. Mean follow-up was 3.6 years. The stress test yielded negative findings in 93.4% of patients. Complete continence was reported by 80.3% of patients, and marked improvement by 7%. The estimated cost of the sling was $17 to $272, depending on the materials used. Two patients experienced urinary retention requiring urethrolysis. Three required sling revision because of healing problems. Use of...Continue Reading

References

Oct 1, 1983·British Journal of Obstetrics and Gynaecology·P Hilton, S L Stanton
Dec 6, 2002·International Urogynecology Journal and Pelvic Floor Dysfunction·K H WangG W Davila
Apr 12, 2003·Obstetrics and Gynecology·L Elaine WaetjenJeanette S Brown
Oct 4, 2006·American Journal of Obstetrics and Gynecology·Jay-James R MillerPeter K Sand
May 22, 2007·Clinical Obstetrics and Gynecology·Chi Chiung Grace ChenMarie Fidela R Paraiso
Jan 18, 2008·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Kathleen C Kobash
Apr 21, 2009·American Journal of Obstetrics and Gynecology·Sallie S OliphantJerry L Lowder

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Citations

Oct 26, 2012·International Urogynecology Journal·Aimee L SmithG Willy Davila

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