Korean J Obstet Gynecol.  2005 Sep;48(9):2190-2197.

Preliminary Report on Distal Urethral Polypropylene Sling (DUPS) in the New Surgical Management of Stress Urinary Incontinence in Korea

• Kim KH
• Kim HM
• Lee KW

Abstract

OBJECTIVE
The purpose of this study is to introduce and evaluate new anti-incontinence surgical procedure, Distal Urethral Polypropylene Sling (DUPS) for stress urinary incontinence in Korea.
METHODS
DUPS were performed on 12 patients with stress urinary incontinence at Kangbuk Samsung Hospital from Feb. 2005 to May 2005. Patients were evaluated preoperatively with history, physical examination, standardized symptom questionnaire, voiding diary, post-void residual urine and urodynamics. We reviewed medical records and clinical characteristics and evaluated the efficacy of the sling procedure, retrospectively.
RESULTS
The mean age was 48.08+/-9.3 years. The average operative time was 29.00+/-15.8 minutes for the sling procedure. The average hemoglobin change is 1.57+/-1.14 g/dL. The mean hospital stay day is 3.74+/-0.88 days. Concomitant procedures were performed including rectocele repair (n=5), LAVH with rectocele repair (n=2), LAVH (n=1), VTH with cystocele and rectocele repair (n=1). There was no intraoperative complications or major postoperative complications. The cure rate (patients' satisfaction) was 94.7%.
CONCLUSION
DUPS is a new, inexpensive, safe and simple alternative treatment for patients with stress urinary incontinence.

Keyword

Stress urinary incontinence; Urethra; Polypropylene; Sling

MeSH Terms

Cystocele
Humans
Intraoperative Complications
Korea*
Length of Stay
Medical Records
Operative Time
Physical Examination
Polypropylenes*
Postoperative Complications
Surveys and Questionnaire
Rectocele
Retrospective Studies
Urethra
Urinary Incontinence*
Urodynamics
Polypropylenes