Obstetrics and Gynecology, Cheng Ching Hospital, Taichung, Taiwan, Republic of China.

The aims of this study were to compare the pre- and postoperative urodynamic findings of the suburethral autologous rectus fascial sling procedure and to determine patient satisfaction with the procedure by telephone interviews. Eight-four female patients with urodynamic stress incontinence completed a multi-channel urodynamic study and pad test before and after the operation. Subjective and objective satisfaction were also recorded. Significant changes were noted in the stress maximal urethral closure pressure, pad test, voided volume, and peak flow rate (P < 0.05). The success rate was about 94%, and subjective satisfaction was about 72%. The most common complication was transient urinary tract infections. The suburethral sling resolved 50% of detrusor overactivity (DO), but de novo DO was 24%. The procedure combined with anterior colporrhaphy corrected or improved 97% of anterior vaginal wall prolapses (>/=stage II). This retrospective study demonstrates that suburethral autologous facial slingplasty has a high cure rate, high patient satisfaction, and is a less complicated procedure. It can also correct and prevent a recurrence of anterior vaginal wall prolapse when combined with anterior colporrhaphy.

Written by
Tsui KP, Ng SC, Yeh GP, Hsieh PC, Lin LY, Chen GD.

Reference
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Jan 30. Epub ahead of print.
doi:10.1007/s00192-008-0569-z

PubMed Abstract
PMID:18231696

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