The evaluation of Pubovaginal Fascial Sling in Stress Urinary Incontinence in 30 Patients

Document Type : Original Article

Authors

1 Assistant Professor of Obstetrics and Gynecology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

2 Urologist, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

3 Resident of Obstetrics and Gynecology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

4 MD., Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Abstract

Introduction: Urinary incontinence is a very common symptom that adversely affects the quality of life of millions of people over worldwide. Pubovaginal fascial sling (P.F.S) is one of the effective surgical methods in treatment of urinary stress incontinence. The aim of this study was to determine the cure rate, improvement and failure rate in patients who underwent P.F.S. within 3 years.
 
Methods: In a descriptive-analytic study 30 patients with urinary stress incontinence who had P.F.S. surgery were studied. Results of all surgeries data were analyzed with SPSS Version 11.
 
Results: The Mean age was 43.9±8.4 years. Patients who sufferings from mixed urinary incontinence were 53.3% and the 46.7% had pure urinary stress incontinence. The mean follow up period was 22.3±9.4 months and 73.3 % were cured. Improvement was seen in 13.3% and in 13.3% surgery had failed. Cure rate in pure urinary stress incontinence was 100% and in mixed urinary incontinence was 50% (P=0.008). In addition, there was no significant difference between cure rate and duration of symptoms, vaginal delivery number, combination of operations, and age (P>0.05) but pelvic disorders (cystocele, rectocele) had significant correlation with cure rate (P=0.04). In our patients 83.3% were satisfied while 6.7% were partially satisfied and 10% were unsatisfied. Early complications were seen in 33.3% and late complications were seen in 26.7%. Vaginal bleeding was the most common early complication and the recurrence of urinary incontinence was the most common late complication.
 
Conclusion: Pubovaginal fascial slingis an effective and safe method with long standing results in urinary stress incontinence especially in pure stress urinary incontinence.

Keywords

References

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