Sling operations in the treatment of stress urinary incontinence: how to adjust sling XXXX .

@entity1 @entity4438 @entity2680 @entity2701 @entity736 @entity1876 @entity3142
AIM: To find an objective method of adjusting sling @entity2701 in order to avoid postoperative @entity1876 . METHODS: Thirty-five female @entity1 with @entity3142 were treated using a sling procedure. @entity4438 were implanted in 20 @entity1 and @entity736 patch slings with nylon sutures were implanted in 15 @entity1 . During the procedures the urinary bladder was partially full and the @entity1 , who were under spinal or epidural anesthesia, were asked to cough and strain. The proper @entity2701 that effectively prevents urine leakage was selected and the corresponding suture length was marked. An objective new method to adjust sling @entity2701 was used. As part of this method, the abdominal bulge index is added to the suture length before tying. RESULTS: Short-term follow-up of 6-12 months showed that 33 of 35 @entity1 reported no @entity2680 (94%). Two @entity1 had unsatisfactory urge incontinence. We did not encounter postoperative urinary retention in any @entity1 . No significant post-voiding residual urine was reported. None of our @entity1 in this series have complained of difficulties during micturition or the need to strain during voiding. CONCLUSION: Proper adjustment of sling @entity2701 using the abdominal bulge index has eliminated postoperative urinary retention and obstructed urine flow, including any appreciable amount of post-voiding residual urine. This method has been found to be both objective and reproducible.
