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Minimally Invasive Pervaginam Procedures for the Treatment of Female Stress Incontinence Using a New Pubic Bone Anchoring System
Author(s) -
Madjar Shahar,
Wald Moshe,
Halachmi Sarel,
Issaq Elias,
Moskovitz Boaz,
Beyar Mordechai,
Nativ Ofer
Publication year - 1998
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1046/j.1525-1594.1998.06159.x
Subject(s) - sling (weapon) , medicine , urinary incontinence , surgery , urology , invasive surgery
The purpose of this ongoing study is to evaluate the safety and efficacy of new minimally invasive pervaginam cystourethropexy and sling procedures for the treatment of female genuine stress urinary incontinence. A total of 75 women (mean age, 52.8 years) underwent either a cystourethropexy or a sling procedure. A miniature bone anchor and a staple‐like bone anchor driver were used for the fixation of periurethral tissue or a xenogenic sling to the pubic bone. With a mean follow‐up of eight months, 61 patients (82%) were completely cured of stress incontinence, 10 (14%) reported a more than 50% decrease in pad usage, and 4 patients showed failure early following surgery. The exclusively pervaginam cystourethropexy and sling procedures are minimally invasive, safe, and effective. Further experience and longer follow‐up are necessary to establish their role in the treatment of women with stress urinary incontinence.