How to achieve long-term success in the treatment of female urinary stress XXXX ? Novel modification on vaginal sling.

@entity1 @entity6369 @entity7502 @entity322
PURPOSE: Modest long-term success is one of the most disappointing issues facing patients undergoing anti- @entity322 surgery. Herein we introduce a novel surgical modification of the vaginal sling to address the mechanisms that may lead to a reduction in the success rate at the long-term follow-up. MATERIALS AND METHODS: Twenty-three female @entity1 with mean age of 48.2 years (range, 22-73 years) underwent anti- @entity322 surgery to correct their stress urinary @entity322 (SUI) between August 2006 and January 2008. The in situ anterior vaginal wall sling, reinforced with equi-size monofilament @entity7502 tape, was used as an anti- @entity322 surgical procedure. The mean follow-up period was 30.2 months (range, 24-38 months). RESULTS: The surgical technique was successful in 22 @entity1 (95.65%); 20 of them were cured and 2 @entity1 showed clinical improvements. Urinary retention was observed in one @entity1 (4.34%), which was resolved after decreasing the tension of the suspension sutures. No significant post-voiding residue was detected postoperatively. CONCLUSIONS: Cost-effectiveness and a low risk of @entity6369 , due to the presence of intervening vaginal mucosa, are important advantages of this technique. Long-term success is expected, because relaxation of the non-tension-free suspension sutures and dislocation of the midurethral sling are less likely.
