STRESS URINARY-INCONTINENCE DUE TO SEVERE SPHINCTER HYPOTONICITY - SLING PROCEDURE IN 26 CASES

Stress urinary incontinence with low urethral closure pressure and ure thral mobility is often treated by artificial urinary sphincter. Our r etrospective report in 19 patients evaluates the sling procedure as an alternative to the artifical urinary sphincter (7 patients). All pati ents had a preoperative clinical and urodynamic evaluation. 13 patient s were continent (68,4 %) in the sling procedure group and 5 in the sp hincter group. Continence remained stable with a mean follow-up of 77 months (range : 39-110 months). 2 patients had urgency and none had dy suria. The sling procedure gave us the same results as sphincter with less morbidity.