Premium
Experience with a bone anchor sling for treating female stress urinary incontinence: outcome at 30 months
Author(s) -
Carbone A.,
Palleschi G.,
Ciavarella S.,
Morello P.,
Tomiselli G.,
Parascani R.,
Tubaro A.
Publication year - 2004
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2003.04749.x
Subject(s) - medicine , urinary incontinence , sling (weapon) , surgery , urodynamic testing , physical examination , incidence (geometry) , urology , physics , optics
OBJECTIVES To evaluate the clinical and video‐urodynamic outcome in women with by stress urinary incontinence (SUI) treated with a bone‐anchored pubovaginal sling. PATIENTS AND METHODS The study included 70 women with SUI (as evaluated by a clinical examination, a voiding questionnaire, a short pad‐test and video‐urodynamics) who had a bone‐anchor sling procedure, with or without cystocele repair, from January 1999 to December 2001; they were re‐evaluated after a long‐term follow‐up (mean 30 months). RESULTS The long‐term outcome showed a success rate of > 95%; the clinical and video‐urodynamic findings showed good functional and anatomical results, and an improvement in voiding performance in most patients. There was a low incidence of complications during and after surgery (2.8%). CONCLUSIONS This approach gives, in highly selected patients, a high success rate and low incidence of complications. The technique is easy to learn and the costs to the financing bodies and public healthcare are low, making it a candidate for an alternative procedure to the standard techniques for SUI.