Minimally invasive treatment of female stress urinary incontinence: 100 cases using SPARC sling

Authors: Siddiqui, K.¹; Raj, H.²; Flynn, R.²; Grainger, R.²; Thornhill, J.²

Source: Irish Journal of Medical Science, Volume 177, Number 1, March 2008 , pp. 39-42(4)

Publisher: Springer

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Abstract:

Assess the suitability of SPARC sling as a minimally invasive operation for female stress urinary incontinence.

One hundred consecutive patients were evaluated over 45-month period. All had stress urinary incontinence (SUI), proven on urodynamics and cough stress test, independently or combined with urge incontinence but with predominantly SUI. King's Health Questionnaire 1993 (KHQ) and SF36 Health Survey forms were completed pre and post operatively. Peri-operative features, complications and results were recorded.

Mean follow-up was 20 months. SUI was cured or significantly reduced in 88% of cases. Role Limitations and Severity Measures (as per KHQ) were considerably reduced. Post-op retention in 11% cases resolved spontaneously within 2 weeks. One case had readjustment of sling. Complications were small in number and minor in nature.

SPARC sling is highly effective with low complication rates. It is an alternative to tension free vaginal tape.

Keywords: Stress urinary incontinence; Pubovaginal sling; SPARC sling; Sub urethral tape; Minimally invasive

Document Type: Research article

DOI: http://dx.doi.org/10.1007/s11845-007-0109-8

Affiliations: 1: 19 The Grove, Haydens Park, Lucan, Co Dublin, Ireland, Email: kashifsiddiqui2@gmail.com 2: 19 The Grove, Haydens Park, Lucan, Co Dublin, Ireland

Publication date: 2008-03-01