The sling operation is especially indicated in patients with intrinsic sphincter dysfunction(ISD). We evaluated of the effectiveness of the sling operation for the treatment of genuine stress incontinence patients with ISD. We operated 7 patients
and
followed up all of the patients for 2-14(mean 8) months. Preoperative maximal urethral closure pressure was ranged from 23 to 74 (mean 38.4) cmH2O and valsalva leak point pressure (VLPP) was ranged from 41 to 78(mean 59.5) cmH2O. We applied
rectus
fascia or GoreTex mesh as sling material.
As a results, genuine stress incontinence (GSI) had completely cured in all of 7 cases. However, postoperative urinary retention was developed in two cases. In one of these, we released suspension suture, and in another case, urethrolysis and Raz
operation was underwent in other hospital. All of these two cases showed improvement of voiding and any recurrence of incontinence was not noted.
In conclusion, GSI due to ISD can be cured by the technique operation , so we suggest that the sling operation is one of treatment for GSI patient with ISD.
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