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Published on: June 16, 2022
Externally readjustable device to regulate sling tension in stress urinary incontinence: preliminary results
Alejandro Sousa-Escandón1, Jose Lema Grillé, José Ignacio Rodríguez Gómez
1Service of Urology, Comarcal Hospital of Monforte, Lugo, Spain. alejandrosousa@hotmail.com
Background And Purpose:
Slings, especially those called "tension free," have low complication rates and good long-term success rates. However, they still have problems with either an excess or a lack of tension, which produces voiding difficulties or urinary leakage persistence, respectively. The effectiveness of a new adjustable sling for the treatment of stress urinary incontinence (SUI) has been evaluated.
Patients And Methods:
Between November 1999 and May 2002, 113 consecutive patients were operated for SUI by means of a new adjustable sling. The results were analyzed retrospectively. The average follow-up time was 22 months (range 6-36 months).
Results:
Objective success was achieved in 108 of 113 patients (95.5%), but subjectively, only 90.3% of the patients were completely satisfied with the procedure because of persistent urge incontinence in 6 cases (5.3%). Morbidity was minimal.
Conclusions:
This new minimally invasive treatment allows readjustment of sling tension at the immediate or mid-term postoperative period. It is applicable to primary and recurrent SUI and has shown encouraging results.
