EVALUATION OF TRANS-VAGINAL SLINGS IN THE MANAGEMENT OF FEMALE STRESS

Objectives: To evaluate tailored prolene mesh, anterior rectus sheath and vaginal wall slings positioned under the mid-urethra to treat stress urinary incontinence (SUI) in females.Patients & Methods: In this prospective randomized study, 32 patients with SUI. They were evaluated by SEAPI symptom score, physical examination and urodynamics. According to sling material; 12 patients had tailored prolene mesh, 12 patients had anterior rectus sheath and 8 patients had anterior vaginal wall slings. All data about procedure time, blood loss, hospital stay, operative and postoperative complications as well as treatment outcome were documented. Follow up visits one and three months postoperative, then every three months in periods ranged from 6 to 18 months, to fulfill data about patients symptoms, clinical examination, uroflowmetry and in uncured patients, VLPP was measured.Results: Patients who received tailored prolene mesh slings had less intraoperative bleeding, time and hospital stay. Postoperative complications as urine retention and urgency did not exceed 12.5% with no significant differences. Regarding procedure success; there was no significant difference among the three studied groups (75%-67%-75%).Conclusion: The surgeon experience and the patient clinical circumstances should be considered when we are going to choose among sling materials as success rates are comparable with a little superiority of the prolene sling as regarding operative time, bleeding and hospital stay.Key words: sling- urethra- female- stress- incontinence- prolene- rectus sheath- vagina.