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Polytetrafluoroethylene patch sling for type 2 or type 3 stress urinary incontinence
Author(s) -
YAMADA TAKUMI,
KAMATA SHIGEYOSHI,
NAGAHAMA KATSUSHI,
ICHIYANAGI NOBUTAKA,
HORIUCHI SUSUMU,
SAITOH HIROSHI
Publication year - 2001
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1046/j.1442-2042.2001.00402.x
Subject(s) - medicine , urinary incontinence , sling (weapon) , urology , stress incontinence , surgery , urinary system
Abstract Background: Surgical success rates and complications of anti‐incontinence surgery were evaluated according to the type of stress incontinence and the type of surgery. Methods: From 1989 to 1998, we treated 137 women for stress urinary incontinence with anti‐incontinence surgery. Of the 137 patients, 110 had type 2 stress urinary incontinence and 27 had type 3 stress urinary incontinence. Of 110 patients with type 2 stress urinary incontinence, 57 underwent pubovaginal sling procedure and 53 were treated with the Gittes procedure. All of the patients with type 3 stress urinary incontinence underwent the pubovaginal sling procedure. Results: Cure rates with the pubovaginal sling procedure were 82% in type 2 incontinence and 70% in type 3 incontinence. Cure rates with the Gittes procedure were 56%. The occurrence of de novo urge symptom and pelvic pain was low and bore no relation to either operative method or type of stress incontinence. Conclusions: The pubovaginal sling procedure using the polytetrafluoroethylene patch was effective for type 2 or 3 stress urinary incontinence.