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The use of polypropylene mesh as a transobturator sling for the treatment of female stress urinary incontinence (early experience with 40 cases)

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Abstract

This study evaluated the use of traditional polypropylene mesh, used in hernias repair, as a sling in the treatment of female stress urinary incontinence (SUI). Forty patients diagnosed with SUI underwent transobturator sling fashioned from the ordinary polypropylene mesh (vypro II®). Each lateral end of the tape is secured by a zero prolene suture. The procedure was then done outside-in, and the patients were followed up. The mean operative time was 40–60 min when the procedure was performed alone or accompanied with associated pelvic floor repair. Thirty-five patients (87.5%) were cured, and two patients (5%) significantly improved, but the procedure failed in three patients (7.5%), and the slings were removed because of vaginal erosion. Polypropylene mesh transobturator sling is an easy and cheap method for the treatment of female SUI with a high success rate.

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Abbreviations

TVT:

tension-free vaginal tape

SUI:

stress urinary incontinence

TOT:

transobturator tape

QOL:

quality of life

Q-max:

maximum flow rate

CUA:

complete urine analysis

CIC:

clean intermittent catheterization

PVR:

postvoid residual urine volume

LUT:

lower urinary tract

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Authors and Affiliations

  1. Urology Department, Faculty of Medicine, Tanta University, Tanta, Egypt

    Abdelnaser K. H. Elgamasy, Osama M. Elashry, Mohammed A. Elenin, Hassan H. Eltatawy & Mahmoud D. Elsharaby

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  1. Abdelnaser K. H. Elgamasy
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  2. Osama M. Elashry
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  3. Mohammed A. Elenin
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  4. Hassan H. Eltatawy
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  5. Mahmoud D. Elsharaby
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Correspondence to Abdelnaser K. H. Elgamasy.

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Elgamasy, A.K.H., Elashry, O.M., Elenin, M.A. et al. The use of polypropylene mesh as a transobturator sling for the treatment of female stress urinary incontinence (early experience with 40 cases). Int Urogynecol J 19, 833–838 (2008). https://doi.org/10.1007/s00192-007-0539-x

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  • DOI: https://doi.org/10.1007/s00192-007-0539-x

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