Suspended pubovaginal fascial sling for the correction of complicated stress urinary incontinence

Objectives: Our experience with a modification of the pubovaginal fascial sling technique for the treatment of complicated stress urinary incontinence is reviewed. Methods: 20 women with complicated stress urinary incontinence underwent suspended pubovaginal fascial sling procedure, with which the sling tension is balanced by combining it with No. 1 Prolene suspension sutures placed at the bladder neck. Results: With a mean follow-up period of 30.7 months, 18/20 patients (90%) were cured of stress incontinence and 2 (10%) were improved. Postoperative complications were minimal, and the voiding dysfunction rate following surgery was 5%. Conclusions: With a relatively short follow-up we found the suspended pubovaginal fascial sling to be highly successful in the treatment of complicated stress urinary incontinence, with minimal voiding dysfunction and a low complication rate.