Korean J Urol.  1999 Apr;40(4):481-484.

Results of Anterior Vaginal Wall Sling Operation for Female Stress Urinary Incontinence

• Lee DS
• Lee JG
• Koh SK

Abstract

PURPOSE: To review the short-term result of Raz`s anterior vaginal wall sling as a treatment for intrinsic sphincter deficiency(ISD) and urethral hypermobility.
MATERIALS AND METHODS
Twenty-three women who had intrinsic sphincter deficiency and urethral hypermobility were treated by AVL which employed an island of in situ anterior vaginal wall as a sling to support the bladder neck and mid-urethra.
RESULTS
After a mean follow-up of 4.7(3-6)months, urinary incontinence was disappeared completely after the AVL. Complications included urinary retention in 6 patients, residual urine sensation in 5 patients which improved after intermittent catheterization. The other complication was low abdominal pain in 5 patients.
CONCLUSIONS
It is suggested that AVL was effective treatment of ISD and urethral hypermobility with simple technique, low morbidity and high cure rate.

Keyword

Anterior vaginal wall sling; Intrinsic sphincter deficiency; Urethral hypermobility

MeSH Terms

Abdominal Pain
Catheterization
Catheters
Female*
Follow-Up Studies
Humans
Neck
Sensation
Urinary Bladder
Urinary Incontinence*
Urinary Retention