Polypropylene sling for the treatment of stress urinary incontinence.

Overview

INTRODUCTION: Sling procedures have been used successfully for the treatment of stress urinary incontinence. Using similar surgical principles to the cadaveric fascia sling, we describe the placement of a thinly woven Prolene mesh under the mid to distal urethra. We describe our technique and report our initial early results. Technical Considerations. A total of 98 consecutive patients were evaluated. All patients had clinical evidence of stress urinary incontinence. The patients underwent a preoperative evaluation with video- urodynamic studies, symptom questionnaire, and cystoscopy. A 1 x 10-cm Prolene mesh was placed under the mid to distal urethra. Postoperatively, the patients were evaluated at 3-month intervals with a symptom questionnaire, physical examination, and postvoid residual volume determination. CONCLUSIONS: We describe a new, simple, quick, inexpensive, and effective method to correct stress urinary incontinence by placing a Prolene mesh under the distal urethra.