INCISIONLESS PER VAGINAL BONE ANCHOR CYSTOURETHROPEXY FOR THE TREATMENT OF FEMALE STRESS-INCONTINENCE - EXPERIENCE WITH THE FIRST 50 PATIENTS

Purpose: We evaluated the safety and efficacy of a new minimally invas ive surgical procedure for the treatment of women with genuine stress urinary incontinence. Materials and Methods: A total of 50 women (mean age 51 years) was treated for type I or II stress urinary incontinenc e. A miniature bone anchor and a staple like bone anchor driver were u sed for fixation of periurethral tissue to the pubic bose. Results: Th e procedure was successfully performed in all patients without intraop erative bleeding. No significant persistent postoperative pain was not ed and only 1 patient had urinary tract infection. Concomitant, vagina l hysterectomy, cystocele repair or-perineoplasty was performed in 33 cases. At 12-month followup 41 patients (82%) are completely continent , 7 patients (14%) reported more than 50% decrease in pad usage and 2 cases are considered surgical failures. Mean operative time was 28 min utes. Conclusions: Data suggest that our new minimally invasive proced ure provides a safe, effective and easy to learn alternative for treat ment of women with anatomical stress incontinence.