TRANSVAGINAL COLPOURETHROPEXY WITH FIBRIN SEALANT - 4 YEARS FOLLOW-UPIN 23 CASES

A method of transvaginal colpo-urethropexy, using fibrin sealant was s tudied clinically. After a fingertip vaginal retropubic dissection, fi brin sealant is instilled in the retropubic space with the intent of i nducing fibrosis between the elevated urethro-vesical junction and the retropubic periosteum. Twenty-three patients with urinary stress inco ntinence underwent this procedure with 82% of satisfactory results and 18% failure. Complications were minimal. In the future: this techniqu e could be useful for ambulatory surgery. Copyright (C) 1996 Elsevier Science Ireland Ltd.