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Comparison of the outcomes of the sling technique using a commercial and hand-made polypropylene sling

Luciane Maria Oliveira Brito, Antonio de Pádua Silva Sousa, José Albuquerque de Figueiredo Neto, Thaiana Bezerra Duarte, George do Lago Pinheiro, Maria Bethânia da Costa Chein
2011 International Brazilian Journal of Urology  
Purpose: To compare the outcomes and costs of stress urinary incontinence (SUI) surgery using a hand-made sling (Mar-lex®) versus a commerciallyavailable suburethral polypropylene sling (Advantage®). Materials and Methods: Thirty-nine women with SUI due to bladder neck hypermobility and/or sphincter incompetence diagnosed by clinical examination and urodynamic studies were divided into two groups: group 1 (n = 19) consisted of patients from an academic center (group 2 (n = 20) patients from
more » ... ) patients from private practice. The hand-made polypropylene suburethral sling was used in group 1 and the commercial sling in group 2. The patients were evaluated 30, 60 and 90 days after surgery. Results: The mean duration of surgery was 43 min. in group 1 and 51 min. in group 2. No postoperative voiding difficulties were observed in group 1 (100%), as well as, in 94.7% of patients of group 2. A bladder catheter was not required in any of the patients of the two groups at the end of the study. The level of satisfaction was 100% in group 1, whereas, one patient of group 2 considered the surgery to be unsuccessful. Urodynamic studies showed low amplitude uninhibited contraction in 11.1% of patients of group 1 and 10.5% of group 2. No complications were observed in either group. Conclusion: The hand-made polypropylene mesh (Marlex®) can be used for sling procedures, saving costs and yielding results similar to that obtained with commercial sling systems.
doi:10.1590/s1677-55382011000400012 pmid:21888705 fatcat:2aorzwm6cnhgnbpdiln5u5rcsm