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Korean Journal of Obstetrics & Gynecology 2005;48(9):2190-2197.
Published online September 1, 2005.
Preliminary Report on Distal Urethral Polypropylene Sling (DUPS) in the New Surgical Management of Stress Urinary Incontinence in Korea.
Kye Hyun Kim, Hyoung Moon Kim, Kyo Won Lee
Division of Urogynecology, Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. kw4773@hanmail.net
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.
Key Words: Stress urinary incontinence, Urethra, Polypropylene, Sling


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