EVALUATION OF ANTERIOR VAGINAL WALL SLING IN TREATMENT OF FEMALE STRESS INCONTINENCE.

Abstract

Aim anterior vaginal wall sling operation is evaluated for stress incontinence whether due to pure intrinsic sphincteric deficiency or combined lSD and urethral hypermobility.

Materials and Methods: A total of 22 patients with either pure lSD (8 patient, 36.4%) or combined lSD and urethral hyperrnobility (14 patients, 63.6%) were treated using the anterior vaginal wall sling operation. Surgical outcome was evaluated at a mean of23.6 months.

Results: the success rate of the vaginal wall sling procedure for correcting stress incontinence was 86.4. percent the risk factors for operation failure were too morbid obesity or preoperative detrusor instability. There was no prolonged urinary retention or urethral erosion.

Conclusions: The vaginal wall sling is a simple procedure with excellent success rate and minimal morbidity. We recommend it for patients with stress urinary incontinence.