An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence
The object was to study prospectively the results of a modified intravaginal slingplasty for the surgical treatment of female stress incontinence, carried out under local anesthesia as a day procedure. Seventy five patients with genuine stress incontinence were operated upon and followed for a 2-year period. All patients were diagnosed urodynamically to have genuine stress incontinence. Pad tests and quality of life assessments were carried out in all patients both pre- and postoperatively. There were no intra- or postoperative complications and 63 patients (84%) were completely cured throughout the 2-year follow-up period. Six patients (8%) were significantly improved, i.e. they did not loose urine apart from an occasional leakage during severe cold etc. In the remaining 6 patients (8%) no improvement was seen. These failures were obvious at the first postoperative check-up after 2 months. Thus, there were no relapses after 2 months. All but 5 patients were able to void properly directly after surgery. These 5 needed an indwelling catheter during the night directly after the operation. All 75 patients were released from the hospital the same day or the day after surgery without catheterization. Mean sick leave was 10 days and mean operation time 22 minutes. No defect healing or rejection of the sling occurred. It is concluded that the procedure described is a promising new technique for the surgical treatment of female stress incontinence. Prospective long-term studies including more patients are in progress to establish the definitive place of this technique in the clinical routine.
KeywordsAmbulatory surgical procedure Female stress incontinence Local anesthetics Slingplasty
Unable to display preview. Download preview PDF.
- 2.Falconer C, Ekman G, Malmström A, Ulmsten U. Intravaginal slingplasty for treatment of female stress incontinence. 11th IUGA Meeting, Kuala Lumpur, 1995Google Scholar
- 4.Petros P, Ulmsten U. An integral theory and its method for the diagnosis and management of female urinary incontinence.Scand J Urol Nephrol 1993;153:1–93Google Scholar
- 7.Victor A, Larsson G, Åsbrink AS. A patient administered test for objective quantitation of the symptom of urinary incontinence.Scand J Urol Nephrol 1988;21:277–279Google Scholar
- 8.Khullar V, Salvatore S, Cardozo LD, Yip A, Kelleher CJ. The improtance of urinary symptoms and urodynamic parameters in quality of life assessment.Neurourol Urodyn 1995;14:540–542Google Scholar
- 10.Brenner J. Mesh materials in hernia repair.Inguinal Hernia Repair 1995 (in press)Google Scholar