The midurethral polypropylene sling for stress incontinence: 22-Month results of 81 patients

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dc.contributor.authorDemirci, Fuat
dc.contributor.authorÖzdemir, İsmail
dc.contributor.authorAlhan, Ali
dc.date.accessioned2021-06-23T18:54:26Z
dc.date.available2021-06-23T18:54:26Z
dc.date.issued2005
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective: The objective was to review a cost-effective procedure called the midurethral polypropylene sling (MPS) in the treatment of urodynamic stress incontinence (USI). Study design: A self-fashioned sling (7.5×1 cm) was created from a polypropylene mesh with two lengthening polypropylene sutures at the ends. The sutures are carried through the rectus fascia by a special needle carrier. The sling is placed around the urethra and its sutures are tied on the fascia. The procedure was performed on 81 patients. Of these patients, 73 had USI. The remaining 8 patients with uterine prolapse, who did not have USI, underwent the MPS prophylactically. Of 81 patients, 35 underwent the MPS alone, 46 underwent the MPS and abdominal or vaginal procedures. Results: Three patients had bleeding in excess of 300 ml necessitating a vaginal tamponade. One had hematoma and the other underwent a laparotomy. Urinary retention for more than 3 days was observed in 6 of the patients who had the MPS alone, in 7 of the patients who had both MPS and abdominal procedures, and in 13 of the patients who had MPS with vaginal procedures. The sling was cut in 3 patients due to persistent urinary retention. Of 73 patients with USI, 70 were completely cured (95.9%) at a mean of 22 months' follow-up. Conclusion: The cure rates and complications of the MPS were comparable to those of the tension-free vaginal tap (TVT) procedure for the treatment of USI. The procedure costs about US$ 9. We conclude that the MPS can be considered as an alternative to the TVT procedure. © Springer-Verlag 2005.en_US
dc.identifier.doi10.1007/s00404-004-0701-3
dc.identifier.endpage150en_US
dc.identifier.issn0932-0067
dc.identifier.issue2en_US
dc.identifier.pmid15906054en_US
dc.identifier.scopus2-s2.0-21744441323en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage145en_US
dc.identifier.urihttps://doi.org/10.1007/s00404-004-0701-3
dc.identifier.urihttps://hdl.handle.net/20.500.12491/4429
dc.identifier.volume272en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorDemirci, Fuat
dc.institutionauthorÖzdemir, İsmail
dc.institutionauthorAlhan, Ali
dc.language.isoenen_US
dc.relation.ispartofArchives of Gynecology and Obstetricsen_US
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMidurethral Polypropylene Slingen_US
dc.subjectPelvic Organ Prolapseen_US
dc.subjectPolypropylene Meshen_US
dc.subjectStress Incontinenceen_US
dc.subjectTVTen_US
dc.titleThe midurethral polypropylene sling for stress incontinence: 22-Month results of 81 patientsen_US
dc.typeReview Articleen_US

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