-

Purpose

: To evaluate the efficacy of a simple and economic procedure using a placard-shaped in situ anterior vaginal wall sling

for the treatment of stress urinary incontinence, with or without cystocele repair.

Methods

: From July 2003 to July 2004, 14 female patients (mean age 45.21 years, range 37–57) were operated upon because of

stress urinary incontinence (SUI) with the placard-shaped

in situ

anterior vaginal wall sling technique. The average follow-up

period was 11 months (range 4–14.5 months). Twelve patients were operated primarily with this technique and only two patients

had undergone previous surgeries for the treatment of SUI (one patient had had two previous surgeries and the other had had one

previous surgery). In all patients urethral hypermobility or/and bladder prolapse were observed

.

Filling cystometry showed

sufficient bladder capacity with no detrusor overactivity.

Results

: No urinary retention was observed in any patient in the postoperative period. While 11 patients have 100% cure of

incontinence, three patients started leakage of urine after 1–2 months after the operation (one patient had been operated upon

twice before (and who was diabetic and obese) and two patients were primarily repaired by our technique). In two patients,

suprapubic tenderness and redness were observed, and were treated by oral antibiotic and anti-inflammatory drugs.

Conclusion

: The placard technique is simple, cost-effective and has low incidence of urinary retention in the post-operative period.

The success rate seems to be satisfactory and it can be applicable to patients who are primary cases of SUI with average body

mass index. Yet longer term follow up and larger number of patients are needed before final conclusion can be drawn.

Key words

placard technique, stress urinary incontinence, vaginal sling.

Conference Title

VII International Meeting of the Pan African Urological Surgeons Association

Conference Country

Egypt

Conference Date

May 13, 2005 - May 13, 2005

Conference Sponsor

International Journal of Urology