A sling operation, using Marlex polypropylene mesh, for treatment of recurrent stress incontinence

Morgan, J. Edwin

doi:10.1016/0002-9378(70)90362-5

Cited by 72 publications

(17 citation statements)

References 8 publications

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“…The complete resolution of the inflammatory response, represented by the reconstitution of the native tissue, may eventually not be possible due to the maintenance of aggression factors related to the physical and chemical properties of the implant. Thus, what is called integration is the end result of the interaction between the implant and the host, which is usually represented by varying degrees of fibrosis (32).…”

Section: Discussionmentioning

confidence: 99%

Primary fixation of mini slings: a comparative biomechanical study in vivo

Palma

Siniscalchi²,

Maciel³

et al. 2012

Int. braz j urol.

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Section: Discussionmentioning

confidence: 99%

Primary fixation of mini slings: a comparative biomechanical study in vivo

Palma

Siniscalchi²,

Maciel³

et al. 2012

Int. braz j urol.

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“…It seems unlikely that this is relevant to the successful outcome of surgery, since the three unsuccessful cases showed the same reduction in peak flow rate and three of the successful cases showed no such reduction. Morgan [1970] reported in his initial series that all 20 patients experienced some difficulty in voiding, although in a later study involving 127 patients, despite a 93 % subjective cure rate, only three patients experienced symptoms of incomplete bladder emptying [Morgan and Farrow, 19771. No objective data however, were presented in that study.…”

Section: Discussionmentioning

confidence: 99%

Clinical and urodynamic evaluation of the polypropylene (marlex) sling for genuine stress incontinence

Hilton

Stanton

1983

Neurourology and Urodynamics

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Ten women undergoing a polypropylene suburethral sling procedure for treatment of genuine stress incontinence were assessed pre-and post-operatively by standard urodynamic methods and by urethral pressure profile measurements at rest and on stress. Eight patients were subjectively and seven objectively cured of stress incontinence. A significant reduction in urine flow rate was found although this appeared to be of little relevance to the successful outcome of surgery.An increase in resting urethral profile length was seen in both successful and unsuccessful cases. The former also had an improvement in maximum urethral closure pressure on stress due to improvement in pressure transmission in the proximal three quarters of the functional urethral length. The urethra appeared relocated in a retropubic position following successful and unsuccessful operations. It is likely that failure was associated with periurethral fibrosis causing failure of pressure transmission despite adequate elevation.

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“…The first to use synthetic material for a female urethral sling were Williams and Te Linde in 1962, followed by Ridley in 1966 andMorgan in 1970, using a polypropylene Marlex mesh for recurrent stress urinary incontinence. Subsequently, Morgan and colleagues (1985) reported at least a 5 year follow-up of patients with a 77.4% success rate.…”

Section: Historymentioning

confidence: 99%