THE ENDO-STITCH NEEDLE - A NEW DISPOSABLE INSTRUMENT FOR BURCHS PELVISCOPIC PREPERITONEAL INCONTINENCE OPERATION - A PRELIMINARY-STUDY

Objective: It is the therapeutical aim of urogynecology to correct uri nary incontinence. Which advantages offers the use of the Endo-Stitch needle in Burch's pelviscopic colposuspension? Methods: When extending the field of pelviscopic surgery, in a prospective study we performed Burch's pelviscopic preperitoneal colposuspension using the disposabl e Endo-Stitch suture instrument in 12 patients with stress incontinenc e grades 2 or 3. Clinical and urodynamic evaluations were performed be fore and 8.5 months after the pelviscopic operation. Results: Clinical and urodynamic follow-up examinations revealed continence in 10 (83%) out of 12 patients. Conclusions: Our preliminary experience suggests that the pelviscopic incontinence operation by means of the Endo-Stitc h needle is a good alternative to abdominal colposuspension. Follow-up results of a large number of patients will have to prove advantages i n contrast to conservative surgery.