NEW AND SIMPLIFIED VAGINAL APPROACH FOR CORRECTION OF URINARY STRESS-INCONTINENCE IN WOMEN

Twenty-four patients with urodynamically confirmed urinary stress inco ntinence were operated upon with a new and simplified vaginal approach . This new technique is a simplification of a previously described tra nsabdominal surgical method, in which a two-component fibrin sealant ( Tisseel(R)) was used. The sealant resulted in an excess of fibrin, whi ch induced fibrosis, securing the urethrovesical junction in an elevat ed position to the retropubic periosteum. In the present study, the se alant was deposited retropubically with a specially designed needle th rough the anterior vaginal wall. A great advantage with this procedure is that only local anesthesia is used and the patient can leave the o utpatient clinic 1 hour after the operation. The minimum duration of t he follow-up period was 18 months. The success rate was as high as 63% , and no side effects were observed. (C) 1995 Wiley-Liss, Inc.