Abstract
Urethropexy with a porcine dermal sling was performed in 47 elderly women with urinary stress incontinence and maximum urethral closure pressure averaging 23 cmH2O. At follow-up 7–49 (mean 20) months postoperatively, 68% of the patients were continent and 9% had residual minor leakage. The operation failed in 23%. Women younger than 60 years had a higher cure rate (86%). Complications were few and mostly transient. A dermal sling is recommended for patients previously operated on or with concomitant prolapse, and for elderly women with severe sphincter insufficiency. The method may also be considered for patients with moderate weakness of the pelvic floor.
Published Version
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