Abstract
Objective. To determine the efficacy of the vaginal wall sling in the management of recurrent stress urinary incontinence (SUI) in an elderly female population. Method. Eighteen elderly female patients (average age 68.4 years) with recurrent stress urinary incontinence were studied with a thorough evaluation including videourodynamics. Thirteen patients were diagnosed with type III SUI and 5 patients had type II SUI. A description of the technique, first described by Raz, is provided. Results. Follow-up ranged from six to forty-two months (average 18 months.) All patients are completely dry and express satisfaction with their outcome. Seventeen of 18 patients (94%) are voiding spontaneously. One patient at twelve months' postoperation requires clean intermittent catheterization. Conclusion. Many elderly female patients with recurrent stress urinary incontinence have intrinsic urethral sphincteric incompetence as well as recurrent hypermobility that often classifies them as type II SUI. The vaginal wall sling addresses both problems and is a safe, simple, and effective procedure in the management of recurrent incontinence in elderly female patients.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 203-208 |
| Number of pages | 6 |
| Journal | Urology |
| Volume | 43 |
| Issue number | 2 |
| DOIs | |
| State | Published - 1994 |
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ASJC Scopus subject areas
- Urology
Cite this
The vaginal wall sling : A compressive suspension procedure for recurrent incontinence in elderly patients. / Couillard, David R.; Deckard-Janatpour, Kim A.; Stone, Anthony R.
In: Urology, Vol. 43, No. 2, 1994, p. 203-208.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The vaginal wall sling
T2 - A compressive suspension procedure for recurrent incontinence in elderly patients
AU - Couillard, David R.
AU - Deckard-Janatpour, Kim A.
AU - Stone, Anthony R
PY - 1994
Y1 - 1994
N2 - Objective. To determine the efficacy of the vaginal wall sling in the management of recurrent stress urinary incontinence (SUI) in an elderly female population. Method. Eighteen elderly female patients (average age 68.4 years) with recurrent stress urinary incontinence were studied with a thorough evaluation including videourodynamics. Thirteen patients were diagnosed with type III SUI and 5 patients had type II SUI. A description of the technique, first described by Raz, is provided. Results. Follow-up ranged from six to forty-two months (average 18 months.) All patients are completely dry and express satisfaction with their outcome. Seventeen of 18 patients (94%) are voiding spontaneously. One patient at twelve months' postoperation requires clean intermittent catheterization. Conclusion. Many elderly female patients with recurrent stress urinary incontinence have intrinsic urethral sphincteric incompetence as well as recurrent hypermobility that often classifies them as type II SUI. The vaginal wall sling addresses both problems and is a safe, simple, and effective procedure in the management of recurrent incontinence in elderly female patients.
AB - Objective. To determine the efficacy of the vaginal wall sling in the management of recurrent stress urinary incontinence (SUI) in an elderly female population. Method. Eighteen elderly female patients (average age 68.4 years) with recurrent stress urinary incontinence were studied with a thorough evaluation including videourodynamics. Thirteen patients were diagnosed with type III SUI and 5 patients had type II SUI. A description of the technique, first described by Raz, is provided. Results. Follow-up ranged from six to forty-two months (average 18 months.) All patients are completely dry and express satisfaction with their outcome. Seventeen of 18 patients (94%) are voiding spontaneously. One patient at twelve months' postoperation requires clean intermittent catheterization. Conclusion. Many elderly female patients with recurrent stress urinary incontinence have intrinsic urethral sphincteric incompetence as well as recurrent hypermobility that often classifies them as type II SUI. The vaginal wall sling addresses both problems and is a safe, simple, and effective procedure in the management of recurrent incontinence in elderly female patients.
UR - http://www.scopus.com/inward/record.url?scp=0027957303&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0027957303&partnerID=8YFLogxK
U2 - 10.1016/0090-4295(94)90045-0
DO - 10.1016/0090-4295(94)90045-0
M3 - Article
C2 - 8116116
AN - SCOPUS:0027957303
VL - 43
SP - 203
EP - 208
JO - Urology
JF - Urology
SN - 1527-9995
IS - 2
ER -