Meshplasty treatment for stress urinary: a prospective clinical trial


  • Pramila Yadav Department of Obstetrics and Gynecology, Dr. R. N. Cooper Hospital, Mumbai, India
  • . Rajendrasaraogi Department of Obstetrics and Gynecology, Dr. R. N. Cooper Hospital, Mumbai, India
  • Komal N. Chavan Department of Obstetrics and Gynecology, Dr. R. N. Cooper Hospital, Mumbai, India



Meshplasty, Polypropylene mesh, Stress urinary incontinence


Background: Stress urinary incontinence is when there is involuntary loss of urine due to increase intra-abdominal and intravesical pressure.

Methods: This is a prospective clinical trial which was conducted at a Municipal General Hospital in Mumbai in the Department of Obstetrics and Gynecology for a period of 10 years from January 2005 to December 2015.The study group consisted of 518 cases with clinically demonstrable SUI with or without pelvic floor defects. Meshplasty was performed as a choice of surgery for SUI correction.

Results: The study group was divided based on age(25-40,41-55,>55),parity(I,II-III,>IV), symptoms (SUI, Dysfunctional uterine bleeding, prolapse), type of anaesthesia (local, general/spinal anaesthesia), surgery performed (meshplasty alone, meshplasty with cystorectocele repair, meshplasty with vaginal hysterectomy (VH), meshplasty with VH with cystorectocele repair, meshplasty with VH with cystorectocele repair with sacrospinous fixation), complications (mesh rejection, urine retention).

Conclusions: Meshplasty is a simple inexpensive procedure with short learning curve. This has a 94% success rate.


Colombo M, Vitobello D, Proietti F. Randomized comparison of burch colposuspension v/s anterior colporrhaphy in women with SUI and anterior vaginal wall prolapse. BJOG 2000;107:544-51.

Shawn A, Lewis L. Incontinence, prolapse a disorder of pelvic floor. In, Jonathan S. Berek (Ed), Novak’s Gynecology, 13th Edition. New York, Lippincott Williams & Wilkins 2002;671-2.

Lee RA. Vaginal hysterectomy with repair of enterocele, cystocele and rectocele. Clin Obstet Gynecol. 1993;36:967-75.

Wall LL. Urinary stress incontinence. In: Rock JA, Thompson JD (eds.), TeLinde’s Operative Gynecology, 9th Edition. Philadelphia, Lippincott Williamand Wilkins. 1997:1071.

Mansfield DR, Gollogly NC, Kaye DM, Richardson M, Bergin P, Naughton MT. Controlled trial of continuous positive airway pressure in obstructive sleep apnea and heart failure. American Journal of Respiratory and Critical Care Medicine. 2004;169(3):361-6.

Winger MJ, Macdonald DR, Cairncross JG. Supratentorial anaplastic gliomas in adults: the prognostic importance of extent of resection and prior low-grade glioma. Journal of neurosurgery. 1989;71(4):487-93.

Dunger DB, Schwarze CP, Cooper JD, Widmer B, Neil HA, Shield J, Edge JA, Jones TW, Daneman D, Dalton RN. Can we identify adolescents at high risk for nephropathy before the development of microalbuminuria?. Diabetic medicine. 2007;24(2).






Original Research Articles