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Related Experiment Videos

Gore-Tex patch sling: 7 years later.

J M Choe1, D R Staskin

  • 1Division of Urology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.

Urology
|October 8, 1999
PubMed
Summary
This summary is machine-generated.

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The transvaginal Gore-Tex patch sling effectively treats stress urinary incontinence in women, showing durable results with minimal complications. Long-term follow-up confirms high cure rates for genuine stress urinary incontinence.

Area of Science:

  • Urology
  • Gynecology
  • Pelvic Floor Surgery

Background:

  • Genuine stress urinary incontinence (SUI) significantly impacts women's quality of life.
  • Urethral hypermobility and intrinsic sphincter deficiency are common causes of SUI.
  • Surgical interventions aim to restore urethral support and function.

Purpose of the Study:

  • To evaluate the long-term efficacy and safety of the transvaginal Gore-Tex patch sling.
  • To assess outcomes in women with SUI due to urethral hypermobility and/or intrinsic sphincter deficiency.
  • To determine the impact of coexistent urge incontinence on treatment success.

Main Methods:

  • A prospective study of 141 women undergoing transvaginal Gore-Tex patch sling placement between 1989 and 1994.
  • All patients had documented SUI on preoperative videourodynamic testing.

Related Experiment Videos

  • Outcomes were assessed via office visits, chart reviews, questionnaires, and telephone surveys with a mean follow-up of 51 months.

    • Main Results:

    • Complete cure of SUI was achieved in 88.9% of 90 patients with complete follow-up.
    • Persistent SUI occurred in 4.4%, and mixed incontinence in 6.7%.
    • Complications included obstruction/retention (6 patients) and vaginal granulation (5 patients), with no bladder or urethral erosion.

    Conclusions:

    • The transvaginal Gore-Tex patch sling offers durable efficacy for SUI treatment.
    • It is effective for SUI caused by urethral hypermobility and/or intrinsic sphincter deficiency.
    • The procedure demonstrates minimal morbidity with long-term success.