Suspended pubovaginal fascial sling for the correction of complicated stress urinary incontinence.

Abstract

Our experience with a modification of the pubovaginal fascial sling technique for the treatment of complicated stress urinary incontinence is reviewed. 20 women with complicated stress urinary incontinence underwent suspended pubovaginal fascial sling procedure, with which the sling tension is balanced by combining it with No. 1 Prolene suspension sutures placed at the bladder neck. With a mean follow-up period of 30.7 months, 18/20 patients (90%) were cured of stress incontinence and 2 (10%) were improved. Postoperative complications were minimal, and the voiding dysfunction rate following surgery was 5%. With a relatively short follow-up we found the suspended pubovaginal fascial sling to be highly successful in the treatment of complicated stress urinary incontinence, with minimal voiding dysfunction and a low complication rate.