Kiedy operacja slingowa może pogorszyć nietrzymanie moczu?

Abstract

Efficiency condition of sling operations is maintained urethral mobility. For exceeded urethral mobilityevaluation Q-tip test may be used. Urethral hypomobility may be risk factor for lack of improvement after slingoperations. Analysis of urodynamic parameters provides additional informations which may be useful for slingoperations efficiency. As the potential markers of sling operations efficiency intrinsic sphincter deficiency (ISD),decreased detrusor contractility, decreased maximum cystometric bladder capacity below 200 ml and subvesicalobstacle symptoms are mentioned among others. Sling operation failure may be result of improper operationtechnique, although this procedure has short learning curve. Contraindications for sling operations are amongothers: symptoms of overactive bladder – OAB or mixed urinary incontinence with increased urge incontinencecompound.In patients with mixed urinary incontinence symptoms sling procedure using transobturator approach seemsto be a better therapeutic option. However tension-free vaginal tape procedure may be more efficient in case ofISD in obese women and patients after operation treatment for stress urinary incontinence.

Keywords

• urinary incontinence
• sling operations