V271: Spiral sling procedure for recurrent female stress urinary incontinence
VideoIntroduction and Objectives
After multiple anti-incontinence surgeries for urinary incontinence, spiral sling procedure was chosen to correct recurrent incontinence. In this study, we present the short-term results of this technique.
Between December 2007 and March 2012, spiral sling procedure was performed for 28 patients who had recurrent and gravitational urinary incontinence. The sling mesh was constructed by surrounding and suspending the urethra retropubically. After this procedure, cystoscopy was performed to evaluate for the location of urethral coaptation and determine whether urethral or bladder injury had occurred. Patients in the study completed International Consultation on Incontinence Questionnaire – Short Form (ICIQ-SF).
Mean age of patients was 60.7 (38-74). Mean number of previous surgeries was 2.2. Mean score of preoperative and postoperative ICIQ-SF were 16.4 and 7.3, respectively. Mean number of pads per day was preoperatively 5.2 and postoperatively 1.2. Mean operation time was 47 minutes and mean hospitalization time was 22 (18-32) hours. While the proximal urethra and bladder were inadvertently perforated in only one patient. The mean duration of follow-up was 13 (3-28) months. Total dryness was achieved in 18 patients or more than half of the study population
Spiral sling, providing circular coaptation of the urethra, is an effective salvage operation for recurrent urinary incontinence.