Long-term results of fascial sling procedure

✍ Scribed by S. C. Müller; F. Steinbach; F. M. Maurer; S. W. Melchior; R. Stein; R. Hohenfellner

• Book ID: 104745912
• Publisher: Springer
• Year: 1993
• Tongue: English
• Weight: 575 KB
• Volume: 4
• Category: Article
• ISSN: 0937-3462
• DOI: 10.1007/bf00372338

✦ Synopsis

In a retrospective study 108 patients (average age: 56.5 years) could be evaluated, who were treated with a fascial sling plasty because of pure genuine stress incontinence (n = 90) or combined stress/urge incontinence (n = 18). 72 patients (66.6%) had recurrent incontinence after previous surgery. The average follow-up was 5 years.

Patients without previous surgery related to urinary incontinence (n = 36) showed the best results and remained continent in 78% (n = 28).

Patients with 1 to 4 (average 1.4) previous surgical procedures because of incontinence (n = 52) remained continent in 62% (n = 32), and in those who had between 1 and 6 (average 3.6) previous surgical procedures using even alloplastic material the continence rate dropped to 60% (n = 12). In patients with pure genuine stress incontinence the overall success rate was 74.7%, whereas in cases with a proven preoperative urge component, the success rate dropped to 37%. Fascial sling plasty is a very useful procedure to treat patients with primary and especially recurrent urinary incontinence, when a functional urethra is missing. However, one has to be very cautious with patients in whom a preoperative urodynamic evaluation shows detrusor instability.