The gauze hammock sling operation in the treatment of stress incontinence

Abstract

Moir's gauze hammock sling operation for stress incontinence is described with minor modifications, and a series of 105 consecutive patients with independent follow up from 6 months to 9 years is presented. Patients were selected for operation on clinical grounds, urodynamic investigations only becoming available at the end of the series. In 48 patients the operation was a primary procedure. The outcome was determined by clinical review in 93 patients and by case note review in a further 10 with only two patients being lost to follow up. Of the 103 patients assessed, 62 were continent, 26 improved and there were 15 failures. There were two vesico-vaginal fistulas. The results compare favourably with other suprapubic operations for stress incontinence.