Mini–slings – an option in stress urinary incontinence treatment. Case studies
Journal Title: Central European Journal of Urology - Year 2014, Vol 67, Issue 4
Abstract
Introduction Stress urinary incontinence (SUI) is a social disease caused by numerous contributing factors such as natural childbirth, obesity, hormonal deficiencies and changes in collagen fibers, to name a few. Currently, mini–slings, among all the surgical treatment methods, have gained significance. The aim of this study was to establish the effectiveness of this method. Material and methods From 2008 to 2012, one hundred sixty women suffering from SUI underwent surgical procedures to implant mini–slings under the middle part of the urethra and 140 (87.5%) of them remained under observation. In 65 cases, Johnson & Johnson’s TVT–Secur was used; in 70 cases, BARD’s Adjust mini–sling was used; and in 5 cases, AMS Mini–Arc mini–sling was used. The average period of hospitalization was 3 days per admission, operation and discharge day. Results In 82 cases, patients urinated well after the removal of the catheter, and had full urine continence. Fourteen patients showed great improvement, and in four cases temporary urine retention was observed. In two cases vaginal bleeding was observed, yet there was no need for wound revision. Evaluation of the ‘quality of life improvement’ was done using the Visual Analog Scale (VAS). Conclusions The obtained results allowed the conclusion that the implantation of mini–slings is a low invasive, relatively safe and effective procedure for the treatment of SUI even in cases of recurrence. Almost full recovery was achieved in all the cases of this study. The mini–sling has become an important element in modern urogynecology.
Authors and Affiliations
Mariusz Blewniewski, Michał Markowski, Rafał Kliś, Waldemar Różański
Keywords
Related Articles
- EP ID EP512067
- DOI 10.5173/ceju.2014.04.art24
- Views 49
- Downloads 0
Tadalafil in the management of lower urinary tract symptoms: a review of the literature and current practices in Russia
Introduction Strong epidemiologic evidence supports correlation between lower urinary tract symptoms due to benign prostatic hyperplasia (LUTS/BPH) and erectile dysfunction (ED). The link has biologic plausibility given...
The time from diagnosis of bladder cancer to radical cystectomy in Polish urological centres – results of CysTiming Poland study
Introduction The aim of the study was to assess the waiting time, from establishing the indications for radical cystectomy to surgery, in patients with urothelial carcinoma of the bladder at different Polish urological c...
Knowledge about human papillomavirus and the human papillomavirus vaccine in Belgian students
Introduction The aim of this study was to examine the knowledge of Belgian university students about the human papillomavirus (HPV) and HPV–vaccination. Material and methods During a period of two months we administered...
Pfannenstiel incision for radical retropubic prostatectomy as a surgical and cosmetic alternative to the midline or laparoscopic approach: A single center study
Objectives The Pfannenstiel incision is not a very common approach for radical retropubic prostatectomy (RPE). This study is primarily dealing with the approach to the prostate. Material and methods A 10–12 cm Pfannensti...
Laparoscopy and pediatric urology
Editorial.