PMID: 9187896Jan 1, 1997Paper

Use of slings made of indigenous and allogenic material (Goretex) in type III urinary incontinence and comparison between them

European Urology
G BarbaliasD Barbalias

Abstract

To evaluate the use of Goretex pubovaginal sling and compare the results with a typical indigenous material graft made of rectal fascia. We have prospectively evaluated 48 consecutive patients in a randomized fashion in whom a sling procedure was performed to treat their type III incontinence. Sixteen women had a vesicourethral suspension (VUS) by a Goretex sling and another group of 32 patients, comparable in age range and medium age with the previous group, had a similar VUS by a sling from the rectus abdominis fascia. Both groups were evaluated urodynamically 6 and 30 months later. In the first group, cure of incontinence was observed in 87.5% and in the remaining patients it was significantly improved. In 2 patients there was an erosion of the urethra and the Goretex sling had to be removed 3.5 years later. Three other women remained dry but complained of occasional irritative symptoms. In the remaining 11 there was no erosion and the excellent postoperative result was maintained. In the group with fascial slings there was no erosion observed and in general they had less irritative symptoms. Cure or improvement of incontinence was comparable with the first group when studied 6 months after surgery, but there was a significa...Continue Reading

Citations

Jan 23, 1998·Journal of Women's Health
Feb 14, 2006·Nature Clinical Practice. Urology·Kathleen C KobashiFred E Govier
Oct 13, 2006·Current Opinion in Urology·S A Macdiarmid
Apr 28, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Andrew Feifer, Jacques Corcos
Apr 13, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·Emma HawkinsJennifer Hughes-Nurse
Jun 27, 2002·Current Urology Reports·G M Ghoniem, D S Kapoor
Jan 1, 2005·Current Opinion in Urology·Jerry G Blaivas, Jaspreet Sandhu
Jul 26, 2017·The Cochrane Database of Systematic Reviews·Haroon RehmanPatricia Aluko
Dec 18, 2003·BJU International·P Godbole, A E Mackinnon
May 10, 2007·Expert Review of Medical Devices·Uwe KlingeBernhard Schuessler
May 29, 2003·The Journal of Urology·Kathleen C Kobashi, Fred E Govier
Jan 1, 1997·International Urogynecology Journal and Pelvic Floor Dysfunction·G A BarbaliasA Athanasopoulos
Jan 29, 2020·The Cochrane Database of Systematic Reviews·Lucky SaraswatCathryn Ma Glazener
Jul 28, 2021·BJOG : an International Journal of Obstetrics and Gynaecology·O H ChangJ P Shepherd

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