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|Type:||Artigo de periódico|
|Title:||Simplified Vaginal Wall Sling In The Treatment Of Stress Urinary Incontinence. Results In 70 Consecutive Cases|
Netto Jr. N.R.
|Abstract:||INTRODUCTION AND OBJECTIVES: The vaginal wall sling objectives to treat the bladder neck hypermobility and intrinsic sphincteric deficiency simultaneously, without use of muscle aponeurosis or synthetic materials as previously described. This technique is based on the modern concepts of urethra I and pelvic anatomy and physiology, that show the median urethra as the most important sphincteric component. The coaptation of the urethra is increased by sutures applied to the urethropelvic ligament and the levator muscle and fascia. We present our results of the treatment of female urinary stress incontinence with simplified vaginal wall sling. METHODS: We performed this procedure in 70 patients (median 56 years old), 74,5 % submitted to a prior attempt to treat the incontinence by other techniques. The Valsalva leak point pressure ranges from 15 to 73 cm H2O. RESULTS: Ther were 93 % of cure with a follow-up ranging from 25 to 3 months (mean follow-up of 18 months). Two patients developed mild postoperative urgency-incontinence. CONCLUSIONS: Despite tine minimal follow-up, this procedure presents a logical, inexpensive and simple alternative for the treatment of both ethiological component of stress urinary incontinence.|
|Appears in Collections:||Unicamp - Artigos e Outros Documentos|
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