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A further assessment of the gauze hammock sling operation in the treatment of stress incontinence
Author(s) -
KERSEY J.,
MARTIN M. R.,
MISHRA P.
Publication year - 1988
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1988.tb06610.x
Subject(s) - medicine , sling (weapon) , surgery , stress incontinence , urinary incontinence , detrusor instability , complication , catheter
Summary. A further series of 100 consecutive gauze hammock sling operations for urinary stress incontinence is presented with preliminary urodynamic assessment in all cases and follow‐up from 6 months to 5 years. In 63 women the operation was a primary procedure. Modification to the operation included redesign of the shape of the sling, use of increased tension where minor degrees of bladder detrusor instability exist, and use of a suprapubic catheter postoperatively. Of the 100 women 87 were reviewed directly and 12 indirectly; only one was lost to follow‐up. After operation, 78% were continent, 17% showed improvement and there were 4% failures. The only serious complication was a pulmonary embolus in one woman but 15 had some voiding difficulty during the follow‐up period which responded to urethral dilatation in all but three. There were no fistulas. This improved technique should overcome many of the objections to the sling procedure and is a suitable primary procedure for stress incontinence or for treatment of recurrence after previous alternative procedures.