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[Sling procedure surgery in recurrent urinary incontinence: indication, technique and results]
Eréndira Kunhardt Urquiza1, Víctor E Hernández Zúñiga, Eutiquia Ramírez Melgar
1Hospital de Ginecoobstetricia Número 4, Luis Castelazo Ayala, IMSS, Mexico, D. F.
Abstract:
We analyzed 30 study protocols of 30 patients that underwent sling procedure surgery for recurring urinary incontinence correction, from December 1993 up to November 1998. A double technique surgical with double equipment technique was performed (both vaginal and abdominal), using mersilene. Five patients were excluded because a lack of follow-up, which was planned for the first, third, six, twelve and 24 months after surgery. Twenty-one patients (84%) remained continent, four patients (16%) had persistent stress incontinence. One required reoperation for relief of persistent urinary retention secondary to over correction of urethra. We believe that patient selection is the most important factor to be considered in order to perform this technique because of the high morbility rate.