Korean J Urol.
2005 Sep;46(9):950-955.
The Long-term Outcome of Fascial Sling Operation in Female Stress Urinary Incontinence: Multicenter Study in Korea
- Affiliations
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- 1Department of Urology, Gachon Medical School. jblee@gilhospital.com
- 2Department of Urology, Inha Medical School.
- 3Department of Urology, Sungkyunkwan Medical School.
- 4Department of Urology, Inje Medical School.
- 5Department of Urology, Hallym Medical School.
- 6Department of Urology, Daegu Catholic Medical School.
- 7Department of Urology, Chungnam Medical School.
- 8Department of Urology, Chonbuk Medical School.
- 9Department of Urology, Ewha Medical School.
- 10Department of Urology, Eulji Medical School.
Abstract
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PURPOSE: To evaluate the long-term outcomes of fascial sling operation conducted at multicenters in Korea.
MATERIALS AND METHODS
564 patients, who underwent fascial sling operation for stress urinary incontinence, between December 1996 and May 2001, at 10 institutions in Korea, were included in this study. They were all followed up for a period of at least 2 years. History taking, a physical examination, and urodynamic studies, including Valsalva leak point pressure (VLPP), were conducted before the operation. Postoperative symptoms and satisfaction were assessed using a questionnaire. The 269 (47.7%), 266 (47.2%) and 29 (5.1%) patients underwent operations with autologous rectus fascia, cadaveric allograft fascia and autologous fascia lata, respectively.
RESULTS
The mean follow up period was 43.6 months, ranging from 24 to 77 months. Stress urinary incontinence was cured in 485 (86.0%) patients and improved in 31 (5.5%). In autologous fascia group, 252 (84.6%) patients were cured and 18 (6.0%) improved; whereas, in allograft fascia group 233 (87.6%) patients were cured and 13 (4.9%) improved. 253 (84.9%) patients with autologous fascia and 228 (85.7%) patients with allograft fascia were satisfied, making a total of 481 patients (85.3%) that were satisfied with the operation. According to the fascia length and preoperative VLPP value, there were no differences in the success and patient satisfaction rates. There were 197 (34.9%) patients with preoperative urge urinary incontinence, and 92 (46.7%) of these were either cured or improved postoperatively. However, de novo urge urinary incontinence was noted in 8 patients (1.4%).
CONCLUSIONS
Our results suggest that the long-term outcome of fascial sling operation for the treatment of stress urinary incontinence was satisfactory.
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