Seguimiento a 6 meses de mujeres tratadas con cabestrillos mediouretrales para incontinencia urinaria de esfuerzo entre 2007 y 2009, en la clínica universitaria pontificia bolivariana en la ciudad de medellín (Colombia). Cohorte histórica

Objective: describing intraoperation and early complications and the state of post-surgical continence as well as post-surgery satisfaction 6 months after surgery for managing Urinary Stress Incontinence with medium tension-free urethral slings. Materials and methods: a retrospective cohort consisted of 231 patients who were attended at the Pontificia Bolivariana teaching hospital in Medellin from January 2007 to December 2009. All of them were classified by means of urodynamic tests and surgical treatments was done using similar material; the institution's ethics committee approved the study. The sociodemographic and clinical characteristics were described, as were intraoperation and early complications, state of subjective continence and post-surgery satisfaction. Results: a total of 231 surgeries involving medium tension-free urethral sling were performed at the Bolivariana teaching hospital during this period. 181 patients were evaluated during the immediate post-surgery period and 97.3% were found to have become continent following such surgery and 4.3% of the patients presented intra-operation morbidity. There were 2 lesions of the bladder associated with tension-free vaginal tape (TVT). Slight incontinence was found in 3.9% of the patients' after six months, moderate incontinence in 2.4% and severe incontinence in 6.9%. Conclusions: treating urinary effort incontinence with medium tension-free urethral sling resulted in a low percentage of intraoperation and early complications secondary to the surgical technique used. 6-month follow-up showed that patients were satisfied and low UEI recurrence rates were presented.