A suburethral sling procedure with polytetrafluoroethylene for the treatment of genuine stress incontinence in patients with low urethral closure pressure

Nicolette S. Horbach, Jody S. Blanco, Donald R. Ostergard, Alfred E. Bent, Jeffrey L. Cornelia

Research output: Contribution to journalReview article

94 Scopus citations

Abstract

One indication for suburethral sling procedures has been recurrent genuine stress incontinence after previous incontinence surgery. Patients with low urethral closure pressures (20 cm H2O or less) in association with genuine stress incontinence are at particular risk for failure of standard anti-incontinence procedures. Urodynamic evaluation was used to select 17 patients with genuine stress incontinence and low urethral closure pressures for surgical treatment with a sling procedure using polytetrafluoroethylene. The technique of the procedure, cure rate, and postoperative complications were assessed. An 85% subjective and objective cure rate was found on urodynamic testing three months postoperatively. Complications included wound seroma, urinary tract infection, and urinary retention.

Original languageEnglish (US)
Pages (from-to)648-652
Number of pages5
JournalObstetrics and gynecology
Volume71
Issue number4
StatePublished - Apr 1988

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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