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Updated: Oct 2, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Long-term outcome and quality of life after modified pubovaginal sling for intrinsic sphincteric deficiency
1Department of Urology, Tulane University School of Medicine, New Orleans, Louisiana 70112, USA.
Objectives:
To evaluate the long-term outcome of the modified pubovaginal sling (MPVS) procedure and its impact on our patients' quality of life (QOL).
Methods:
We mailed an outcome questionnaire to 112 female patients who underwent the MPVS procedure for complicated type III stress urinary incontinence (SUI), intrinsic sphincteric deficiency. Eighty-two responses (73.2%) were obtained, with a mean follow-up of 3.4 years (range 0.5 to 8). Forty-four of them have had a follow-up for more than 3 years.
Results:
Of the patients who responded, 86.3% were satisfied, and 78% of the patients reported significant improvement; 49.3% were dry all the time, 21.9% were occasionally wet, 17.9% were wet with moderate activity, and 10.9% were wet all the time. Social activity improved in 74% of the patients, and sexual activity improved in 39%. No significant difference was noted in continence and satisfaction or QOL. Reviewing the charts of our failures (15 patients, 19.2%) revealed that all of them had urge incontinence with or without SUI.
Conclusions:
The questionnaire results revealed a high satisfaction rate and a significant improvement in the QOL of patients with complicated SUI who underwent MPVS. The patients remained satisfied over a long follow-up period. Failures are mostly associated with urge incontinence and severe irritative symptoms.
