PTU - Polskie Towarzystwo Urologiczne
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CODE: 12.2 - Assessment of IVS method in the treatment of stress urinary incontinence (SUI) in women - 4 years follow-up
Article published in Urologia Polska 2006/59/Suplement 1.


Mariusz Blewniewski, Waldemar Różański, Michał Markowski
II Klinika Urologii UM, WSS im. M. Kopernika w Łodzi


Introduction. Stress urinary incontinence (SUI) occurs as a result of downward displacement of the bladder neck and urethra due to flaccidity of the supporting tissues and intrinsic urethral sphincteric deficiency. Among the numerous methods of treatment used in SUI according to the stage of the disease, procedures involving suspension of the urethra are the most fre-quently used. The aim of the study was to assess the effectiveness of urethral suspension pro-cedures utilizing self-supporting prolene tape. IVS was used in the procedures.
Material and method. From October 2001 to October 2005, 95 urethral suspension proce-dures with IVS tape were performed in the Department. The patients' age ranged from 36 to 81, with the mean of 62 years. The diagnosis of SUI was established on the basis of anamne-sis and examinations. The patients were divided into 3 groups. The average duration of this low-invasive procedure is ca. 20 min., and of hospitalization 2 days. The patients were fol-lowed up post-operatively for 3 to 48 months.
Results. 88 women were observed. Complete cure was obtained in 80 patients (90.1%), im-provement in 8 (9.9%). Urine retention after micturition was observed in 3 women, and the symptoms of urgency, which regressed completely or were reduced within 4 weeks after the procedure, were noted in 13 cases (14.7%). In group III (mixed type incontinence), the oper-ated patients required additional administration of anticholinergic drugs because of urgency. In five cases, the urinary bladder was damaged while the needle guiding the tape was being inserted behind the pubic symphysis. These complications occurred during the first part of the procedures.
Conclusions. The obtained results allow to conclude that the IVS method was a low-invasive, relatively safe and effective procedure in the treatment of SUI, even in case of recurrences. Short period of hospitalization allows to reduce convalescence time and favors quicker recov-ery. Four years follow-up allows to objectively assess the method.