Experience with a bone anchor sling for treating female stress urinary incontinence: outcome at 30 months.

Abstract:

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.

journal_name

BJU Int

journal_title

BJU international

authors

Carbone A,Palleschi G,Ciavarella S,Morello P,Tomiselli G,Parascani R,Tubaro A

doi

10.1111/j.1464-410x.2003.04749.x

keywords:

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

780-8

issue

6

eissn

1464-4096

issn

1464-410X

pii

BJU4749

journal_volume

93

pub_type

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