Home > Journals > Gazzetta Medica Italiana Archivio per le Scienze Mediche > Past Issues > Gazzetta Medica Italiana Archivio per le Scienze Mediche 2018 July-August;177(7-8) > Gazzetta Medica Italiana Archivio per le Scienze Mediche 2018 July-August;177(7-8):380-5

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Permissions
Cite this article as

 

ORIGINAL ARTICLE   

Gazzetta Medica Italiana Archivio per le Scienze Mediche 2018 July-August;177(7-8):380-5

DOI: 10.23736/S0393-3660.17.03536-7

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Urethral sling surgery using a surgeon-tailored polypropylene mesh in patients with stress incontinence

Lorena SIMÕES BALDOTTO , Mariana FRANCO TORRES, Isadora ALVES RUAS, Bruno VIEIRA BALLA, Antônio CHAMBÔ FILHO

Department of Obstetrics and Gynecology, Hospital Santa Casa de Misericórdia de Vitória, Vitória, Espírito Santo, Brazil


PDF


BACKGROUND: This study evaluated the outcome of urethral sling surgery using a surgeon-tailored polypropylene mesh in patients with a urodynamic diagnosis of urinary incontinence.
METHODS: A questionnaire investigated the pre- and post-operative status of 100 randomly selected patients submitted to transobturator sling surgery using a tailored polypropylene mesh. Surgeries were performed between 2009 and 2014 in the Santa Casa de Misericórdia Hospital in Vitória, Espírito Santo, Brazil.
RESULTS: Mean age was 57.2 years. The prevalence of overweight or obesity classes I-III was 67%. The mean number of pregnancies was 4 and the mean number of vaginal deliveries was 3. Regarding ethnicity, 48% of the participants described themselves as white, 45% as brown-skinned and 7% as black. All patients had complained of urinary leakage and, in addition to the principal complaint, 53% had also complained of urge incontinence, 76% of stress incontinence and 66% of nocturia. Urodynamic evaluation had diagnosed stress incontinence in 80/100 cases and mixed incontinence in 20/100 cases. Of the patients with a diagnosis of stress incontinence, 92.5% were satisfied with surgery compared to only 50% of the patients with mixed incontinence (P=0.000). Overall, 84% of the patients evaluated were satisfied with the surgical procedure, with only 16% stating that they were dissatisfied.
CONCLUSIONS: The use of a surgeon-tailored polypropylene mesh in this type of surgery represents a safe, inexpensive option, with few complications and a consequent improvement in patients’ quality of life. The high satisfaction rate following this procedure supports the use of this technique.


KEY WORDS: Surgical procedure, operative - Suburethral slings - Urinary incontinence, stress

top of page