Midline intravaginal slingplasty for treatment of urinary stress incontinence: results of an independent audit up to 2 years after surgery |
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Authors: | Marga M. IJland Dagmar-C. Fischer Dirk G. Kieback Greg McGrath Bruce Farnsworth |
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Affiliation: | (1) Centre for Pelvic Reconstructive Surgery, Sydney Adventist Hospital, 185 Fox Valley Road, Wahroonga, NSW, 2076, Australia;(2) Department of Obstetrics and Gynaecology, University of Maastricht, P. Debyelaan 25, 6202 AZ Maastricht, The Netherlands;(3) Department of Obstetrics and Gynaecology, East Maitland Private Medical Centre, 173 Chisholm RR, Maitland, 2323, Australia;(4) Present address: Department of Obstetrics and Gynaecology, University of Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands;(5) Present address: Department of Obstetrics and Gynecology, University of Heidelberg, Voss Strasse 9, 69115 Heidelberg, Germany |
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Abstract: | Recently, the midline intravaginal slingplasty (anterior IVS) directed at reinforcing the pubourethral ligament was introduced for treatment of urinary stress incontinence. An independent telephone interview to evaluate urinary symptoms and surgery-related changes in quality of life was performed between 12 and 32 months after surgery. Of 52 women initially enrolled, 3 were lost during follow-up. None of the patients experienced infection, rejection or erosion of the tape. The procedure failed in 7 patients whereas in 42 patients cure of stress incontinence was achieved. This was not only verified by clinical examination at initial follow-up but also confirmed by the patients at the time of the interview. Although about two-thirds of the patients reported urge incontinence and/or voiding difficulties during their interview, the validation of the surgery was rather high and only in a minority did urinary complaints translate into reduced quality of life.Funding: This study was partially funded by a generous grant from Tyco Healthcare Netherlands to MIJ |
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Keywords: | Anterior IVS Quality of life Slingplasty Urinary stress incontinence |
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