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Suburethral sling treats occult stress urinary incontinence.(Gynecology)
SAN DIEGO -- Suburethral sling treatment of occult stress urinary incontinence and intrinsic sphincter deficiency with Mersilene mesh is effective in women undergoing pelvic reconstructive surgery for either severe anterior or posterior prolapse, Dr. Jeffrey Clemons reported at the joint annual meeting of the American Urogynecologic Society and the Society of Gynecologic Surgeons.
"It's possible that occult stress urinary incontinence with intrinsic sphincter deficiency may be more difficult to treat in women with severe anterior vaginal prolapse, but our study sample size was not large enough to show this difference," said Dr. Clemons of Madigan Army Medical Center, Tacoma, Wash.
He and his associates retrospectively studied 64 women who underwent concurrent pelvic reconstructive surgery and a suburethral sling with Mersilene mesh for severe vaginal prolapse between January 1993 and December 2001.
All women had stage III or IV vaginal prolapse of either the anterior or posterior compartment and demonstrated occult stress urinary incontinence and intrinsic sphincter deficiency ...
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