SUSPENDED PUBOVAGINAL FASCIAL SLING FOR THE CORRECTION OF COMPLICATEDSTRESS URINARY-INCONTINENCE

Objectives: Our experience with a modification of the pubovaginal fasc ial sling technique for the treatment of complicated stress urinary in continence is reviewed. Methods: 20 women with complicated stress urin ary incontinence underwent suspended pubovaginal fascial sling procedu re, with which the sling tension is balanced by combining it with No. 1 Prolene suspension sutures placed at the bladder neck. Results: With a mean follow-up period of 30.7 months, 18/20 patients (90%) were cur ed of stress incontinence and 2 (10%) were improved. Postoperative com plications were minimal, and the voiding dysfunction rate following su rgery was 5 %. Conclusions: With a relatively short follow-up we found the suspended pubovaginal fascial sling to be highly successful in th e treatment of complicated stress urinary incontinence, with minimal v oiding dysfunction and a low complication rate.