A Novel Composite Sling for the Treatment of Stress Urinary Incontinence First Clinical Experience

摘要

Objectives: The purpose of this study was to test the effectiveness of a mesh that was designed for the surgical correction of stress urinary incontinence (SUI) using a new surgical synthetic composite sling. The sling was designed to prevent the inherent complications of chronic retention and urethral erosion, associated with traditional synthetic polypropylene slings and to provide the uro-logic surgeon with a minimally invasive user-friendly approach.Methods: 40 patients with urethra! hypermobility SUI were treated with this sling. The sling, composed of both absorbable and nonabsorbable components, is implanted using a modified Stanley approach. Follow-up was performed retrospectively. Follow-up was for 15-70 months, with a mean 48.4 months.Results: 39 patients (97.5%) operated on had cure of incontinence. Irritative voiding symptoms improved in all patients. No morbidity or complications were seen.Conclusion: The preliminary results indicate that this approach is safe, effective, and well tolerated compared with other available surgical materials and techniques. This procedure is minimally invasive, easily reproducible, and can be performed as a short- stay surgical procedure using materials that are found in any operating room.