PMID: 7581473Jan 1, 1995Paper

New and simplified vaginal approach for correction of urinary stress incontinence in women

Neurourology and Urodynamics
C Falconer, B Larsson

Abstract

Twenty-four patients with urodynamically confirmed urinary stress incontinence were operated upon with a new and simplified vaginal approach. This new technique is a simplification of a previously described transabdominal surgical method, in which a two-component fibrin sealant (Tisseel) was used. The sealant resulted in an excess of fibrin, which induced fibrosis, securing the urethrovesical junction in an elevated position to the retropubic periosteum. In the present study, the sealant was deposited retropubically with a specially designed needle through the anterior vaginal wall. A great advantage with this procedure is that only local anesthesia is used and the patient can leave the outpatient clinic 1 hour after the operation. The minimum duration of the follow-up period was 18 months. The success rate was as high as 63%, and no side effects were observed.

References

Jan 1, 1977·Urologia Internationalis·U UlmstenC G Persson
Aug 1, 1992·Current Opinion in Obstetrics & Gynecology·D P KeaneP Abrams
Jan 1, 1988·Gynecologic and Obstetric Investigation·B LarssonS Fianu
May 1, 1984·American Journal of Obstetrics and Gynecology·C F Langmade, J A Oliver
Mar 1, 1993·European Journal of Obstetrics, Gynecology, and Reproductive Biology·O LalosP Bjerle
Jan 1, 1993·Scandinavian Journal of Urology and Nephrology·K BrassoJ Egense

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Citations

Dec 7, 2010·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Yeo-Jung MoonSang-Wook Bai
Jan 14, 2009·International Journal of Urology : Official Journal of the Japanese Urological Association·Osamu NishizawaYoshihiko Hirao
Dec 22, 1999·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·M B DetweilerJ Fenton

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