
Tratamiento de la incontinencia urinaria de esfuerzo mediante técnica laparoscópica
CARLOS HERNÁNDEZ FERNÁNDEZ, ANDRÉS DE PALACIO ESPAÑA, GREGORIO ESCRIBANO PATIÑO, JOSE MARÍA DÍEZ CORDERO, ALEJANDRO BIELSA CARRILLO
Tratamiento de la incontinencia urinaria de esfuerzo mediante técnica laparoscópica
OBJECTIVES: To evaluate our own experience with laparoscopic bladder neck suspension. The laparoscopic procedure is performed by anchoring a mesh from the vagina to the ligament, thus creating tension. This technique has several characteristics that make it very attractive: it is easy to learn, operating times are short and it is a commonly indicated procedure.METHODS: We present a series of 72 women with history of urinary stress incontinence to whom a laparoscopic bladder neck suspension was indicated.RESULTS: The procedure was completed in 69 patients, with a mean operative time of 40 minutes. Mean hospital stay was 1.6 days (Range 1 to 5 days). Continence rate was 82% after a median follow up of 31 months. 12 patients recurred after the operation, 7 of them recurred in the first 2 months and 5 had previous surgical history; this makes us think whether the technique was not adequately performed or the indication for treatment was not suitable.CONCLUSIONS: We believe that, although it is necessary a longer follow-up, laparoscopic bladder neck suspension can be considered a good alternative in the treatment of urinary stress incontinence.
Incontinence / Bladder neck suspension / Laparoscopy {{custom_keyword}} /
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