| Pubovaginal sling with a low-cost polypropylene mesh. | |
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MedLine Citation:
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PMID: 17980067 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The aim of this study was to present the results of pubovaginal sling with a low-cost polypropylene mesh in the treatment of stress urinary incontinence. MATERIALS AND METHODS: 118 women diagnosed with stress urinary incontinence (SUI) due to urethral hypermobility or intrinsic sphincteric deficiency, treated with pubovaginal sling (PVS) with a low-cost polypropylene mesh confectioned by the surgeon, were analyzed. All patients had a basic evaluation that included a medical history, physical examination, stress tests and urodynamic investigation. RESULTS: The average follow up was of 42 months. Urethral hypermobility was observed in 67% of the cases. The process was carried out on an outpatient basis on 67 patients. Intra-operative complications included 4 vesical injuries, treated with catheterization for 3 days. There were 13 early complications, of which 8 were urinary retentions treated with vesical drainage for 1 to 3 weeks and 3 vaginal extrusions of the mesh treated with covering of the sections with mucous membrane. There was a need for 6 urethrolysis in patients who presented irritative and postoperative obstructive symptoms; 81.3% of the patients were considered cured, while 9.3% had significant improvement. Three initially unsuccessful cases required sling reconfiguration. All cases were eventually cured. CONCLUSION: The construction of a pubovaginal sling using a low-cost polypropylene mesh is a safe and effective technique for the relief of SUI. It should be considered an alternative, especially for patients in public health systems with low financial resources. |
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Authors:
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Fransber R Rodrigues; Romulo Maroccolo Filho; Roberto R Maroccolo; Lucio C Paiva; Fernando A Diaz; Eduardo C Ribeiro |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International braz j urol : official journal of the Brazilian Society of Urology Volume: 33 ISSN: 1677-5538 ISO Abbreviation: Int Braz J Urol Publication Date: 2007 Sep-Oct |
Date Detail:
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Created Date: 2007-11-05 Completed Date: 2008-09-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158091 Medline TA: Int Braz J Urol Country: Brazil |
Other Details:
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Languages: eng Pagination: 690-4 Citation Subset: IM |
Affiliation:
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Service of Urology, Brasilia University Hospital, Brasilia, DF, Brazil. fransber.rodrigues@sbu.org.br |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female Follow-Up Studies Humans Middle Aged Polypropylenes / economics, therapeutic use* Retrospective Studies Surgical Mesh / economics* Treatment Outcome Urinary Incontinence, Stress / surgery* Urodynamics |
| Chemical | |
Reg. No./Substance:
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0/Polypropylenes |
| Comments/Corrections | |
Comment In:
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Int Braz J Urol. 2007 Nov-Dec;33(6):849
[PMID:
18199360
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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