The evolution of stress urinary incontinence treatment techniques of the last three decades

Abstract

The authors retrospectively studied a database of 221 patients who underwent correction of stress urinary incontinence (SUI) through the implantation of a SAFYRE VS retropubic sling (96 women) or a homemade polypropylene retropubic sling - HMS (125 patients) between March 2005 and December 2007, comprising a median follow-up of 78.47 (± 38.69) months (1). The evaluation included a telepho-ne call made by a blinded trained researcher for those patients who had completed at least one year of surgery. The HMS was made of a 75g/m 2 , 15mm-wide polypropylene mesh attached with polyglycolic acid sutures at its edges. Both HMS and SAFYRE VS groups presented significant improvements on In-ternational consensus on Incontinence – Urinary Incontinence Short Form questionnaire (ICIQ-UI SF) and there were no differences in satisfaction, subjective cure rates, ICIQ-UI SF, or complications between groups, but a significantly higher frequency of patients of SAFYERE VS group required indwelling urinary catheter over 24