Iraqi Journal of Medical Sciences








Vol. 8 Issue 1 January - March / 2010
Published on website | Date : 2016-06-18 15:56:05

THE EFFECTIVENESS OF SUBURETHRAL SLING PROCEDURE WITH AUTOLOGUS RECTUS FASCIA IN THE CURE OF STRESS URINARY INCONTINENCE.

Liqaa R. Al khuzaee


Abstract

Background: There are many different surgical procedures that can be employed when treating women with stress urinary incontinence. The surgeon is somewhat overwhelmed with choice. Sub-urethral autologous slings have been used since the early 1900s.
Objectives: to evaluate the surgical results after cruciate suburethral sling procedure with autologus rectus fascia in the cure of stress urinary incontinence in females.
Methods: in a prospective study done between June 2005 to January 2007 we enrolled ten women with stress urinary incontinence demonstrated by positive cough test, filling cystometry, and urethral hyper mobility (straining cotton swab ≥ 30◦), with different grades of vaginal wall prolapsed underwent cruciate sub urethral sling procedure using rectus fascia flap. Demographic criteria, complications during surgery and post operative period, and subjective cure rate at three months were assessed.
Results: the average age of the patients was 42 years, median parity was 4. The mean operative time was (90±3.8 minute), mean blood loss was 300 ml. there was no bladder or urethral injury. One patient developed acute urinary retention in the fourth post operative day; urinary tract infection occurred in three patients postoperatively. Follow up examinations three months after surgery revealed that 80% of patients report subjective cure and one patient felt that her symptoms improved significantly. Only one patient has remained incontinent.
Conclusion: The cruciate sub urethral sling procedure with autologous rectus fascia is an effective treatment for Stress urinary incontinence in females.
Key words: suburethral, sling procedure, autologous rectus fascia, stress incontinence.



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