The Gore-tex sling procedure for female sphincteric incontinence: indications, technique, and results
We constructed a pubovaginal sling using the Gore-tex Soft Tissue Patch and 2-0 polytetrafluoroethylene (PTFE) suspension suture and placed it in 122 consecutive incontinent women with urethral hypermobility and/or intrinsic sphincter deficiency. We performed a retrospective outcome analysis using a...
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| Veröffentlicht in: | World journal of urology 1997-10, Vol.15 (5), p.295-299 |
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| creator | Staskin, D R Choe, J M Breslin, D S |
| description | We constructed a pubovaginal sling using the Gore-tex Soft Tissue Patch and 2-0 polytetrafluoroethylene (PTFE) suspension suture and placed it in 122 consecutive incontinent women with urethral hypermobility and/or intrinsic sphincter deficiency. We performed a retrospective outcome analysis using a questionnaire-based telephone survey. The mean follow-up period was 24.4 months. Stress incontinence was cured in 88% of patients (equally effective in type II and type III incontinence), de novo postoperative urinary frequency occurred in 32% of cases, and preoperative urinary frequency resolved postoperatively in 51% of patients. Significant urinary obstruction occurred in 5% of patients. Vaginal granulation tissue with exposed sling occurred in 4% of patients. There was no urethral or bladder erosion. The treatment of female stress incontinence with a PTFE sling is effective and durable with minimal complications. Furthermore, this technique addresses many of the presumed technical shortcomings of endoscopic needle suspensions. |
| doi_str_mv | 10.1007/BF02202014 |
| format | Article |
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We performed a retrospective outcome analysis using a questionnaire-based telephone survey. The mean follow-up period was 24.4 months. Stress incontinence was cured in 88% of patients (equally effective in type II and type III incontinence), de novo postoperative urinary frequency occurred in 32% of cases, and preoperative urinary frequency resolved postoperatively in 51% of patients. Significant urinary obstruction occurred in 5% of patients. Vaginal granulation tissue with exposed sling occurred in 4% of patients. There was no urethral or bladder erosion. The treatment of female stress incontinence with a PTFE sling is effective and durable with minimal complications. Furthermore, this technique addresses many of the presumed technical shortcomings of endoscopic needle suspensions.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/BF02202014</identifier><identifier>PMID: 9372580</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Female ; Follow-Up Studies ; Humans ; Polytetrafluoroethylene ; Prostheses and Implants ; Retrospective Studies ; Suture Techniques ; Time Factors ; Treatment Outcome ; Urethra - surgery ; Urinary incontinence ; Urinary Incontinence, Stress - surgery ; Vagina - surgery ; Women</subject><ispartof>World journal of urology, 1997-10, Vol.15 (5), p.295-299</ispartof><rights>Springer-Verlag 1997</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c310t-ea7f4505e905402e370c4832011d493d513be88c6ffdf65fabe28052c362fc663</citedby><cites>FETCH-LOGICAL-c310t-ea7f4505e905402e370c4832011d493d513be88c6ffdf65fabe28052c362fc663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9372580$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Staskin, D R</creatorcontrib><creatorcontrib>Choe, J M</creatorcontrib><creatorcontrib>Breslin, D S</creatorcontrib><title>The Gore-tex sling procedure for female sphincteric incontinence: indications, technique, and results</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><description>We constructed a pubovaginal sling using the Gore-tex Soft Tissue Patch and 2-0 polytetrafluoroethylene (PTFE) suspension suture and placed it in 122 consecutive incontinent women with urethral hypermobility and/or intrinsic sphincter deficiency. 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Furthermore, this technique addresses many of the presumed technical shortcomings of endoscopic needle suspensions.</description><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Polytetrafluoroethylene</subject><subject>Prostheses and Implants</subject><subject>Retrospective Studies</subject><subject>Suture Techniques</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Urethra - surgery</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence, Stress - surgery</subject><subject>Vagina - surgery</subject><subject>Women</subject><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkM1LAzEUxIMoWqsX70JA8CBdffnYTdabFluFghc9L9vsi41sszXZBf3vTbEoeHrz4McwM4ScMbhmAOrmfgacAwcm98iISSEyrXixT0aguMxkqcUROY7xHYCpAvJDclgKxXMNI4IvK6TzLmDW4yeNrfNvdBM6g80QkNouUIvrukUaNyvnTY_BGZpE53vn0Ru8TV_jTN27zscJ7dGsvPsYcEJr39CAcWj7eEIObN1GPN3dMXmdPbxMH7PF8_xperfIjGDQZ1grK3PIsYRcAkehwEgtUjHWyFI0ORNL1NoU1ja2yG29RK4h50YU3JqiEGNy-eObKqQMsa_WLhps29pjN8RKlZKDhjKBF__A924IPmWrGHDFpCr1lrr6oUzoYgxoq01w6zp8JajaLl_9LZ_g853lsFxj84vuphbfz-19Hw</recordid><startdate>19971001</startdate><enddate>19971001</enddate><creator>Staskin, D R</creator><creator>Choe, J M</creator><creator>Breslin, D S</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>19971001</creationdate><title>The Gore-tex sling procedure for female sphincteric incontinence: indications, technique, and results</title><author>Staskin, D R ; 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| fulltext | fulltext |
| identifier | ISSN: 0724-4983 |
| ispartof | World journal of urology, 1997-10, Vol.15 (5), p.295-299 |
| issn | 0724-4983 1433-8726 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Female Follow-Up Studies Humans Polytetrafluoroethylene Prostheses and Implants Retrospective Studies Suture Techniques Time Factors Treatment Outcome Urethra - surgery Urinary incontinence Urinary Incontinence, Stress - surgery Vagina - surgery Women |
| title | The Gore-tex sling procedure for female sphincteric incontinence: indications, technique, and results |
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