DOI: 10.36347/sjams.2020.v08i07.013

Pages: 1706-1711

Objective: We Modified the technique of pubo-vaginal fascial rectus sling to make it minimally invasive, less expensive and reduce the incidence of post operative urinary dysfunction. Material and Methods: This study was conducted over a period of ten years on 147 patients who were operated from Jan 2003 to Jan 2013, and followed till Jan 2020. Female patients with age range from 25–65yrs, having SUI were included in the study. Apart from the standard operative procedure of PVS, we have developed a modification in which once the prolene threads are passed above from the vaginal wound, they are not tied together as per the standard procedure but a Hemolok clip (10mm) was used bilaterally to secure the thread over the rectus sheath. Results: Operation was performed in general as well as in regional block. Mean operative time was 45 min with average blood loss of 100 ml. Average Sling length was 10cm with a width of 2cms. Hemolok clips (10mm) were used at both ends over the rectus sheath after appropriate tension. Hospital stay was 2.4 days. Minor Complications occur in 17 pts (11.5%). Till Jan 2020, 131pts (89.11%) are voiding well & have no leakage or retention, while rest of the patients 16 (10.88%) are lost to follow up after 3 years. Conclusion: Syed’s Modified Pubovaginal fascial rectus sling is a highly successful strategy for the management of Female urinary incontinence with a low rate of postoperative voiding dysfunction with good long term functional & cosmetic results.