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Polytetrafluoroethylene patch sling for type 2 or type 3 stress urinary incontinence
T Yamada1, S Kamata, K Nagahama
1Department of Urology, Saitama Medical Center, Saitama Medical School, Saitama, Japan. t_yamada@saitama-med.ac.jp
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.