**10. Conclusion**

228 Urinary Incontinence

123 34

76 30.7

14 11

65 33

Mean follow up(m)

objective success (%)

87.7% of SUI, 97.5% of cystocele

89% of SUI, 95% of cystocele

84.5 % of SUI, not reported of cystocele

97% of SUI, 100% of cystocele

Outcomes

6.5% of erosion rate, bladder injury (1), urethral injury (2), paravesical hematoma (4), de novo SUI (9/66), de novo urgency (12/83); satisfactory outcome, maybe better with use of macroporous, monofilament mesh.

2.1% of vaginal erosion, 2.1% of de novo SUI, 15.7% of de novo urgency; High success rate with single mesh use for SUI and cystocele and prevention of postoperative SUI

Erosion not repoted; a simple, economic and cost-effective procedure by using placard mesh

6% of mesh erosion, de novo urgency (1); a satisfactory outcomes, decrease the erosion rate by Smead-Jones suturing

(n)

First

Eboue

Amrute

Mustafa

Su

author Methods Cases

Trapezoidal shape with four arms, microporous multifilament polypropylene, transoburator , cystocele with/without SUI, history with/ without prior hysterectomy, no additional surgery

H shaped macroporous monofilament polypropylene, retopubic route, SUI with POP, additional VH or SSLF, vaginal closure as in a Mercedes Benz or tripod fashion

Placard shaped polypropylene mesh, retropubic route, SUI with/without cystocele

A macroporous monofilament polypropylene, SUI with/without POP, and with/without prior pelvic surgery, additional VH, SSLF or posterior repair, vaginal closure by Smead-Jones method

Table 1. Clinical information self-customized mesh studies

This procedure provides an easier placement technique, a relatively high success rate, and less recurrence. The complications of the self-fashioned mesh (monofilament and macroporous polypropylene) are acceptable compared to other commercial mesh kits. In addition, the cost of the self-fashioned mesh is cheaper than the commercial mesh kits. The self-fashioned mesh is an alternative option for treating stress urinary incontinence and anterior vaginal wall simultaneously.
