IntroductionJPurpose: To evaluate the efficacy of utilizing placard-shaped in-situ anterior
vaginal wall sling in the treatment of stress urinary incontinence (SUI).
· Materials and Methods: The study included twenty five female patients with average age of
44.4 7 years (range: 36-60), who were operated upon during the period of July 2003-August
2006. Patients were diagnosed to have SUI and were operated upon, using placard-shaped insitu
anterior vaginal wall sling technique. Twenty one patients were operated upon for the first
time while four patients were recurrent cases. Urodynamic study showed normal bladder
capacity with no detrusor overactivity. In all, urethral hypermobility cystocele were observed.
The average follow up period was 9.72 months (range: 4-14.5 months).
,Results: Twenty two patients (88%) were considered cured and. three patients started leakage
of urine after 1-2 month in the postoperative period. Only one patient (4%) had urinary
retent-ion. Four patients had evidence of wound infection which was treated with oral
antibiotics. - .
Conclusions: This technique is accredited with good success rate and low incidence of
complications. It is easy to learn and economic, making it a suitable substitute for standard
technique for SJ]I, especially in primary cases. Longer follow-up and larger number of
patients are needed before final conclusion could be drawn.