Korean J Urol.  2007 Feb;48(2):183-188. 10.4111/kju.2007.48.2.183.

Five Year Follow-up Results of the Pubovaginal Fascial Sling Surgery in the Female Stress Urinary Incontinence

• So SM
• Sul CK
• Na YG

• KMID: 2139758
• DOI: http://doi.org/10.4111/kju.2007.48.2.183

Abstract

PURPOSE: The long term results of pubovaginal fascial sling surgery were evaluated in female stress urinary incontinence (SUI), and were compared with concomitant surgery in pelvic organ prolapse.
MATERIALS AND METHODS
A total of 47 SUI patients were treated with pubovaginal fascial sling surgery between 1997 and 2000. A satisfaction evaluation and success grading of the operation were studied. A postoperative evaluation was performed via a survey questionnaire, uroflowmetry and post-void residuals.
RESULTS
Forty-five patients (95.7%) showed successful results at the 2- & 5-year follow-ups, but 2 patients (4.3%) failed. There were no significant differences in success rates according to Valsalva leak point pressure (VLPP) and the pelvic organ prolapse surgery. Thirty-one patients (66.0%) were satisfied with their result, while 16 (34.0%) were unsatisfied at the 2-year follow up. Those unsatisfied with the result included 8 with a urethral obstruction, 6 with urge incontinence and 2 with persistent SUI. Two patients with prolonged urinary retention had undergone urethrolysis. Postoperative de novo and persistent urge incontinence occurred in 2 and 4 patients, respectively. Two patients with persistent SUI were cured using the midurethral sling. Finally, forty-one patients (87.2%) were satisfied with the results, while 6 (12.8%) were unsatisfied at the 5-year follow-up. CONCLISIONS: The 5-year follow-up results of the pubovaginal fascial sling surgery showed a high success rate and relatively good results with respect to satisfaction with the procedure. If a urethral obstruction and urge incontinence are treated carefully, sling surgery can be considered as an efficient method for any type of urinary incontinence.

Keyword

Urinary incontinence; stress; Treatment

MeSH Terms

Female*
Follow-Up Studies*
Humans
Pelvic Organ Prolapse
Questionnaires
Suburethral Slings
Urethral Obstruction
Urinary Incontinence*
Urinary Incontinence, Urge
Urinary Retention

Figure

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  Fig. 1. Surgical outcomes of pubovaginal fascial sling (A: 2-year f/u, B: 5-year f/u). ∗chi-square test: Linear-by-Linear association: 0.282 (2-year, 5-year).

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  Fig. 2. The rates of satisfaction and dissatisfaction, and the causes of dissatisfaction (A: 2-year f/u, B: 5-year f/u).

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