Abstract:

OBJECTIVE: To evaluate the material characteristics of polypropylene sling and its application in stress urinary incontinence, to find a reasonable sling material and an appropriate surgical approach.
METHODS: Using “polypropylene, polypropylene sling, stress urinary incontinence” in Chinese as the key words, a computer search was performed for 52 relevant articles published between February 2003 and February 2010. Articles related to polypropylene sling material and stress urinary incontinence were included; repeated study or Meta analysis articles were excluded. Totally 22 literatures focused the material characteristics of polypropylene sling and its application for stress urinary incontinence.
RESULTS: The treatment of stress urinary incontinence using sling has developed rapidly in recent years. Polypropylene sling materials are generally divided into three categories according to the source and properties: sterile polypropylene mesh sling, self-made polypropylene mesh sling, autologous fascia vaginal sling. So far, no erosion or infection occurs by using polypropylene sling. However, the size of sling, weaving method, sling fiber surface treatment, surgical approach and fixation after sling implantation which all influence the postoperative quality need further research.
CONCLUSION: Polypropylene sling can be used as an ideal scaffold material for stress urinary incontinence.