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Related Experiment Videos

Laparoscopic Two-Team Sling for Stress Urinary Incontinence

Kung1, Lie, Morgan

  • 1Department of Obstetrics and Gynaecology, Women's College Hospital, University of Toronto, 76 Grenville St., Toronto, Ontario, Canada M5S 1B2.

The Journal of the American Association of Gynecologic Laparoscopists
|August 1, 1996
PubMed
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The laparoscopic two-team sling procedure offers a 95% success rate for recurrent stress urinary incontinence (SUI) in women. This minimally invasive approach provides a safe surgical alternative with a short hospital stay.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Female Pelvic Medicine

Background:

  • Recurrent stress urinary incontinence (SUI) often requires surgical intervention.
  • The two-team sling procedure, utilizing Marlex mesh, has a 20-year history with an abdominovaginal approach.
  • Women with low urethral pressures are particular candidates for this procedure.

Purpose of the Study:

  • To evaluate the efficacy and safety of the laparoscopic two-team sling procedure for recurrent SUI.
  • To assess outcomes using both extraperitoneal and intraperitoneal laparoscopic approaches.

Main Methods:

  • A prospective study of 100 women undergoing laparoscopic two-team sling procedures between July 1993 and February 1996.
  • Procedures employed both extraperitoneal and intraperitoneal laparoscopic techniques.

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  • Data collected on success rates, complications, operating time, and hospital stay.

    • Main Results:

    • An overall success rate of 95% was achieved with a mean follow-up of 1.5 years.
    • Minor complications included small bowel perforation (1%), cystotomy (3%), voiding dysfunction (3%), and mesh erosion (3%).
    • Mean operating time was 70 minutes, with an average hospital stay of 1.5 days.

    Conclusions:

    • The laparoscopic two-team sling procedure is a viable and effective surgical option for women with recurrent SUI.
    • This minimally invasive technique demonstrates favorable outcomes and a manageable complication profile.
    • The procedure offers a suitable alternative to traditional open surgical methods.