A cost effective Management of neurogenic and stress urinary incontinence in female.

Nachiket Vyas; Vishal Kirti Jain; Shivam Priyadarshi

Volume : VII, Issue : VI, June - 2018

A cost effective Management of neurogenic and stress urinary incontinence in female.

Nachiket Vyas, Vishal Kirti Jain, Shivam Priyadarshi

Abstract :

Introduction– Urinary incontinence is social, mental and financial trauma to patients. We have tried rectus myofascial sling for neurogenic as well stress incontinence patients.

Matetrialand method – 18 female patients with urinary incontinence ( 15 neurogenic and 3 stress incontinence ) were included in study. The rectus sling was harvested over inferior epigastric artery based pedicle. In the initial 6 cases rectus fascia was incorporated with muscle but in the last 12 cases we have utilized only the rectus muscle. 2 cm x 10 cm long rectus muscle was used.

Results – Of the 18 patients operated, 15 patients were continent postoperatively. Of the 3 patients who were considered failures, 2 had <2 incontinent episodes during the day and one had 2 incontinence episode per day time . These 3 patients were continent during the night .