Percutaneous bladder neck suspension for female stress urinary incontinence using the sling procedure
- VernacularTitle:应用吊带方法经皮膀胱颈悬吊治疗女性压力性尿失禁
- Author:
Bainian PAN
;
Yong YANG
;
Yunxiang XIAO
;
Al ET
- Publication Type:Journal Article
- Keywords:
Urinary incontinence;
Surgical procedures,operative;
Female
- From:
Chinese Journal of Urology
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce and evaluate the procedure of sling percutaneous bladder neck suspension for female stress urinary incontinence (SUI). Methods A vaginal submucosal tunnel was created between the urethra and the anterior vaginal wall at the level of the bladder neck for later passage of the sling contructed from polypropylene mesh (2.8 cm?1.2 cm).Nineteen cases were treated using bladder neck suspension via percutaneous puncture with the Vesica needle.Cystoscopy was performed to prevent bladder or urethra injury. Results The mean follow up period was 17 months (ranged from 3 to 45 ) with no incontinence in all patients except for only one complaining of voiding difficulty. Conclusions The procedure provides tension free support of the urethra and bladder neck without elevation of the urethra and increased tension on the vaginal wall.The procedure is simple, safe and effective for SUI.