|
KMID : 0358320070480020183
|
|
Korean Journal of Urology
2007 Volume.48 No. 2 p.183 ~ p.188
|
|
|
Five Year Follow-up Results of the Pubovaginal Fascial Sling Surgery in the Female Stress Urinary Incontinence
|
|
So Seong-Min
Sul Chong-Koo
Na Yong-Gil
|
|
|
Abstract
|
|
|
Purpose: The long term results of pubovaginal fascial sling surgery were evaluated in female stress urinary incontinence(SUI), and were compared with concomitant surgery in pelvic organ prolapse.
Materials & Methods: A total of 47 SUI patients were treated with pubovaginal fascial sling surgery between 1997 and 2000. A satisfaction evaluation and success grading of the operation were studied. A postoperative evaluation was performed via a survey questionnaire, uroflowmetry and post-void residuals.
Results: Forty-five patients(95.7%) showed successful results at the 2- & 5-year follow-ups, but 2 patients(4.3%) failed. There were no significant differences in success rates according to Valsalva leak point pressure(VLPP) and the pelvic organ prolapse surgery. Thirty-one patients(66.0%) were satisfied with their result, while 16(34.0%) were unsatisfied at the 2-year follow up. Those unsatisfied with the result included 8 with a urethral obstruction, 6 with urge incontinence and 2 with persistent SUI. Two patients with prolonged urinary retention had undergone urethrolysis. Postoperative de novo and persistent urge incontinence occurred in 2 and 4 patients, respectively. Two patients with persistent SUI were cured using the midurethral sling. Finally, forty-one patients(87.2%) were satisfied with the results, while 6(12.8%) were unsatisfied at the 5-year follow-up.
Conclusion: The 5-year follow-up results of the pubovaginal fascial sling surgery showed a high success rate and relatively good results with respect to satisfaction with the procedure. If a urethral obstruction and urge incontinence are treated carefully, sling surgery can be considered as an efficient method for any type of urinary incontinence. (Korean J Urol 2007; 48:183-188)
|
|
|
KEYWORD
|
|
|
Urinary incontinence, stress, Treatment
|
|
|
FullTexts / Linksout information
|
|
  
|
|
|
Listed journal information
|
|
  
|