Using polypropylene mesh in surgery for stress urinary incontinence

Authors

  • Erick Arturo Murguía-Flores <p>Servicio de Urolog&iacute;a Ginecol&oacute;gica,&nbsp;Centro M&eacute;dico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco</p>
  • Fernando Quintero-Granados <p>Servicio de Urolog&iacute;a Ginecol&oacute;gica,&nbsp;Centro M&eacute;dico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco</p>
  • Luis Guillermo Torres-Gómez <p>Servicio de Ginecolog&iacute;a y Obstetricia,&nbsp;Centro M&eacute;dico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco</p>
  • Mariela Denisse Chávez-Navarro <p>Servicio de Ginecolog&iacute;a y Obstetricia,&nbsp;Centro M&eacute;dico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco</p>
  • Martha Berenice Vázquez-Gómez <p>Servicio de Ginecolog&iacute;a y Obstetricia,&nbsp;Centro M&eacute;dico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco</p>
  • Elizabeth Rodríguez-Rodríguez <p>Servicio de Enfermer&iacute;a,&nbsp;Centro M&eacute;dico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco</p>

Keywords:

Stress urinary incontinence, Surgical mesh, Polypropylenes

Abstract

Background: Stress urinary incontinence (SUI) is defined as the involuntary leakage of urine while making an effort, such as coughing, sneezing or during activity. Since SUI generates high costs and affects the quality of life, it is important to make a proper diagnosis and, consequently, manage SUI efficiently. The objective was to know whether it is appropriate to use polypropylene mesh for SUI.

Methods: A historical cohort was conducted by reviewing records of patients with SUI treated with polypropylene mesh during 2013 with a follow-up of 12 months.

Results: Urinary continence was achieved in 98% of patients at one year. The complication rate was 2%. Only 12% of patients had normal weight. The most commonly used surgery was the placement of tension-free transobturator tape.

Conclusion: The healing average reported worldwide is 90%, while the average for complications is 10%. In this study we achieved similar results. Using polypropylene mesh for surgical correction of SUI is a safe and effective alternative; however, studies with larger populations and more extensive monitoring to clarify this situation are required.

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Vol. 55 No. Suplemento 1 (2017)

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