We describe techniques and objective and subjective outcomes for women who underwent midurethral sling (MUS) shortening for persistent stress urinary incontinence (SUI). This is a case series of women who underwent MUS shortening for SUI within 8 weeks of initial MUS placement. Objective and subjective findings including Urinary Distress Inventory (UDI)-6 and Urinary Impact Questionnaire (UIQ)-7 scores are reported, and shortening techniques are described. Between June 2007 and June 2010, three women underwent MUS shortening for persistent SUI within 8 weeks of initial MUS placement. Shortening was performed with either midline plication or mesh excision and reapproximation. Five months postoperative to shortening, one woman reported subjective improvement in SUI symptoms, and two had subjective and objective resolution of SUI. All showed improvement from baseline in UDI-6 and UIQ-7 scores. There were no erosions. MUS shortening may offer a safe and effective option for management of persistent SUI.
Written by:
Miranne JM, Hampton BS, Sung VW. Are you the author?
Women and Infants Hospital of Rhode Island, Warren Alpert Medical School of Brown University, 101 Dudley St., Providence, RI, 02905, USA.
Reference: Int Urogynecol J. 2011 Dec 6. Epub ahead of print.
doi: 10.1007/s00192-011-1617-7
PubMed Abstract
PMID: 22143449
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