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

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Archivos Españoles de Urología ›› 2002, Vol. 55 ›› Issue (6) : 637-642.
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Tratamiento de la incontinencia urinaria de esfuerzo mediante técnica laparoscópica

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Abstract

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.

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Incontinence / Bladder neck suspension / Laparoscopy

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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. Archivos Españoles de Urología. 2002, 55(6): 637-642

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