PILOT EXPERIENCE IN USING ADJUSTABLE SUBURETHRAL SLING IN THE TREATMENT OF ANATOMIC STRESS URINARY INCONTINENCE IN FEMALES


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Abstract

Adjustable suburethral prolen sling (Agency for Medical Innovations) was set up during surgery via transobturatory approach in 21 females with stress urinary incontinence (SUI). Mean age of the patients was 58.5 years (32-76 years). Only 3 (14%) women failed to retain urine on postoperative day 1, the other 18 of 21 (86%) women no longer showed SUI. Obstructive urination was observed in 4 of 21 (19%) patients, residual urine was present in 3 of these 4 patients (120, 170 and 220 ml). Correction of the sling position was made in early postoperative period in 7 (33.3%) patients. Under local anesthesia of the paraurethral channels with 0.5% novocain solution, the sling was displaced in the direction from the urethra to obturatory opening in 3 women with residuary SUI, from the urethra to the vagina - in 4 women. After regulation of the sling position all the patients retained urine and had no residual urine after urination. Thus, the suburethral prolen sling the position of which can be adjusted in early postoperative period is an effective method of treating females with anatomic SUI.

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