Clinical and urodynamic re-evaluation of combined abdominovaginal Marlex sling operations for recurrent stress urinary incontinence |
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| Authors: | Dr H. P. Drutz M. Buckspan S. Flax Lori Mackie |
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| Affiliation: | (1) The Gynecological Urology and Urodynamic Investigative Unit, Mount Sinai Hospital, Toronto;(2) The Departments of Obstetrics and Gynecology, University of Toronto, Canada;(3) The Department of Surgery, University of Toronto, Canada;(4) Section of Urogynecology, Suite 1221, Mount Sinai Hospital, 600 University Avenue, M5G 1X5 Toronto, Ontario, Canada |
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| Abstract: | Sixty-five women underwent combined abdominovaginal Marlex sling procedures for recurrent stress urinary incontinence. Urodynamic evaluation consisted of uroflowmetry and simultaneous pelvic electromyographic (EMG) studies, carbon dioxide cystometry, urethral pressure profilometry, and cystometry and urethroscopy. Cure rates were 75% for urgency incontinence and 95.3% for stress incontinence. The statistically significant improvements in pre- and postoperative urodynamic parameters involved a decrease in uroflow volumes and an increase in urethral functional length, but not in maximum urethral closure pressure. Bladder capacity remained unchanged. |
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| Keywords: | Combined abdominovaginal Marlex sling procedures Recurrent stress urinary incontinence |
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