Meshplasty treatment for stress urinary: a prospective clinical trial
Keywords: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.
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