Journal Title: زمستان 87 Article title: The Treatment of 17 Cases Urinary Incontinence by Intravaginal Slingolasty
Article PDF File: Page From: 41 To: 47
Article abstract: Introduction & Objective: Urinary incontinence is a very common problem affecting the quality of life of millions of individuals all over the world. Stress Urinary Incontinence (SUI) is the most common form of urinary incontinence which affects women more than men. Intravaginal Slingoplasty (IVS) is a treatment for urinary incontinence which has attracted attention in various parts of the world in recent years. This study includes, stress urinary incontinence patients treated by IVS at the Mojibian hospital of Yazd, Iran.
Materials & Methods: This study includes 17 SUI women patients who referred to the urinary incontinence clinic of Mojibian hospital during the years 2006-2007 and had a positive Marshal's test and candidates for IVS surgery were studied. Results were analyzed using SPSS 11.5 and wilcoxon test.
Results: The mean age of the patients was 43.41+5.86 years (age ranges between 34 and 55 years). The mean number of previous child births was 4.82+1.5 (range 3-7 parturitions). 3 of the patients (17.64%) had symptoms of urinary frequency and urgency. 12 patients (70.58%) had history of previous abdominal or pelvic surgeries. Complications included intra operational urinary bladder tear in 3 cases (17.64%), post surgical urinary retention in 2 cases (11.76%), which was relieved by catheterization and only one case of infection (5.88%) was observed. The mean duration of hospital stay was 4+1.15 days (range 3-7 days). After 6 weeks of follow up, all of the patients had a negative stress test, but one patient complained of urinary incontinence which was of an obsessive psychiatric nature and the patient was treated by a psychiatrist (P-value=0.000). After one year of follow up, 82.35% of the patients were treated both objectively and subjectively.
Conclusions: Even though general conclusion is not possible due to the small number of cases, it seems that the treatment response is comparable with other existing and customary modes of treatment, but the intra operational complications rate in the study was more than those in other similar IVS studies.
