PMID: 11319466Apr 25, 2001Paper

Surgical treatment of stress incontinence using a new vaginal tissue sling: short-term feasibility and complications

Journal de gynécologie, obstétrique et biologie de la reproduction
J P LucotG Crepin

Abstract

Many operative techniques have been proposed for urinary stress incontinence, a common finding in women. The goal of operating solely via a vaginal approach using autologous material has led to the development of a sling technique using a band of vaginal tissue. We described the operative technique and analyzed outcome in the first 35 patients operated with the new vaginal tissue sling technique. Mean duration of the procedure was 35 minutes. The procedure was performed in two cases and thus could be used for prolapsus cure. We had no peroperative complications. Postoperative complications were mainly urine retention (50%) lasting a mean 4.4 days. Transfixation of the bladder was observed late in one case with resection of an intravesicular suture. At mean follow-up of 16.9 months, the success rate was 80% with 68.5% of the patients free of urine leakage. In case of sphincter insufficiency, the success rate was 85.7% (64.3% of the patients were free of leakage). Three of the four patients who had undergone prior Burch colpopexy were cured. Our series demonstrated the feasibility of the new vaginal tissue sling technique. It appears to be an adapted procedure for urinary stress incontinence with sphincter insufficiency and parti...Continue Reading

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