The pubofascial anchor sling procedure for recurrent genuine urinary stress incontinence

Objective To evaluate, in a preliminary study, the outcome of a modified pu bovaginal sling operation with titanium bone anchors for recurrent genuine stress urinary incontinence (GSI) in women. Patients and methods This prospective study included 13 consecutive women w ho underwent the modified sling procedure between September 1994 and August 1996. The subjective and objective cure of urinary stress incontinence, an d the occurrence of postoperative osteitis pubis, were assessed. Results All 13 patients subjectively claimed complete urinary continence an d 12 were objectively cured (12 patients agreed to undergo a repeat urodyna mic study) during a median (range) follow-up of 26 (19-38) months. There we re no cases of postoperative osteitis pubis, bladder injury or major compli cations. Mild suprapubic: pain was a frequent and self-limiting complicatio n. Conclusions This innovative modified sling procedure is effective for recur rent urinary stress incontinence, with no complication of osteitis pubis. W e suggest that this procedure should be considered as a treatment for recur rent GSI and perhaps for primary GSI, A study incorporating a longer follow -up and more patients has been planned.