Preventing urethral obstruction using the 6-point fixation and weight-adjusted spacing nomogram during sling surgery

The aim of the study was to assess the outcome of a 6-point fixation techni que and weight-adjusted spacing nomogram for performing sling surgery. Fift y women with stress incontinence underwent implantation of a Gore-tex patch sling. Sling tension was gauged based on the patient's body weight. Postop erative analysis was performed using cough stress tests, Q-tip tests, pelvi c examinations and patient satisfaction questionnaires. Urodynamics were pe rformed for women with persistent incontinence. Mean follow-up was 24 month s (range 7-28). Mean age was 58 years (range 29-87), Stress incontinence wa s cured in 47/50 patients (94.0%). De novo urge incontinence occurred in 1/ 23 (4.3%) patients. Mean time to suprapubic tube removal was 7 days (range 1-21), No patients experienced urinary retention or urethral obstruction, M ean satisfaction score was 9/10 (range 7-10) and all patients said they wou ld undergo surgery again.:The combination of a 6-point fixation technique a nd a weight-adjusted spacing nomogram allows for a successful sling outcome without obstruction.