Post-Graduation Program for Maternal Child Health, Federal University of Maranh ão - Brazil.
To compare the outcomes and costs of stress urinary incontinence (SUI) surgery using a hand-made sling (Marlex ®) versus a commerciallyavailable suburethral polypropylene sling (Advantage ®).
Thirty-nine women with SUI due to bladder neck hypermobility and/or sphincter incompetence diagnosed by clinical examination and urodynamic studies were divided into two groups: group 1 (n = 19) consisted of patients from an academic center (Department of Urology, University Hospital of Federal University of Maranhao, and group 2 (n = 20) patients from private practice. The hand-made polypropylene suburethral sling was used in group 1 and the commercial sling in group 2. The patients were evaluated 30, 60 and 90 days after surgery.
The mean duration of surgery was 43 min. in group 1 and 51 min. in group 2. No postoperative voiding difficulties were observed in group 1 (100%), as well as, in 94.7% of patients of group 2. A bladder catheter was not required in any of the patients of the two groups at the end of the study. The level of satisfaction was 100% in group 1, whereas, one patient of group 2 considered the surgery to be unsuccessful. Urodynamic studies showed low amplitude uninhibited contraction in 11.1% of patients of group 1 and 10.5% of group 2. No complications were observed in either group.
The hand-made polypropylene mesh (Marlex ®) can be used for sling procedures, saving costs and yielding results similar to that obtained with commercial sling systems.
Written by:
Brito LM, Sousa Ade P, de Figueiredo Neto JA, Duarte TB, Pinheiro Gdo L, Chein MB. Are you the author?
Reference: Int Braz J Urol. 2011 Jul-Aug;37(4):519-27.
PubMed Abstract
PMID: 21888705
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