caa a22 4500 477045936 CHVBK 20180405111330.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/BF01902378 doi (NATIONALLICENCE)springer-10.1007/BF01902378 An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence [Elektronische Daten] [U. Ulmsten, L. Henriksson, P. Johnson, G. Varhos] The object was to study prospectively the results of a modified intravaginal slingplasty for the surgical treatment of female stress incontinence, carried out under local anesthesia as a day procedure. Seventy five patients with genuine stress incontinence were operated upon and followed for a 2-year period. All patients were diagnosed urodynamically to have genuine stress incontinence. Pad tests and quality of life assessments were carried out in all patients both pre- and postoperatively. There were no intra- or postoperative complications and 63 patients (84%) were completely cured throughout the 2-year follow-up period. Six patients (8%) were significantly improved, i.e. they did not loose urine apart from an occasional leakage during severe cold etc. In the remaining 6 patients (8%) no improvement was seen. These failures were obvious at the first postoperative check-up after 2 months. Thus, there were no relapses after 2 months. All but 5 patients were able to void properly directly after surgery. These 5 needed an indwelling catheter during the night directly after the operation. All 75 patients were released from the hospital the same day or the day after surgery without catheterization. Mean sick leave was 10 days and mean operation time 22 minutes. No defect healing or rejection of the sling occurred. It is concluded that the procedure described is a promising new technique for the surgical treatment of female stress incontinence. Prospective long-term studies including more patients are in progress to establish the definitive place of this technique in the clinical routine. The International Urogynecology Journal, 1996 Ambulatory surgical procedure nationallicence Female stress incontinence nationallicence Local anesthetics nationallicence Slingplasty nationallicence Ulmsten U. Department of Obstetrics and Gynecology, Akademiska Sjukhuset, Uppsala University, S-75185, Uppsala, Sweden aut Henriksson L. Department of Obstetrics and Gynecology, Akademiska Sjukhuset, Uppsala University, S-75185, Uppsala, Sweden aut Johnson P. Department of Obstetrics and Gynecology, Akademiska Sjukhuset, Uppsala University, S-75185, Uppsala, Sweden aut Varhos G. Department of Obstetrics and Gynecology, Akademiska Sjukhuset, Uppsala University, S-75185, Uppsala, Sweden aut International Urogynecology Journal Springer-Verlag 7/2(1996-03-01), 81-86 0937-3462 7:2<81 1996 7 192 https://doi.org/10.1007/BF01902378 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01902378 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ulmsten U. Department of Obstetrics and Gynecology, Akademiska Sjukhuset, Uppsala University, S-75185, Uppsala, Sweden aut NATIONALLICENCE 700 1- Henriksson L. Department of Obstetrics and Gynecology, Akademiska Sjukhuset, Uppsala University, S-75185, Uppsala, Sweden aut NATIONALLICENCE 700 1- Johnson P. Department of Obstetrics and Gynecology, Akademiska Sjukhuset, Uppsala University, S-75185, Uppsala, Sweden aut NATIONALLICENCE 700 1- Varhos G. Department of Obstetrics and Gynecology, Akademiska Sjukhuset, Uppsala University, S-75185, Uppsala, Sweden aut NATIONALLICENCE 773 0- International Urogynecology Journal Springer-Verlag 7/2(1996-03-01), 81-86 0937-3462 7:2<81 1996 7 192 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer