S. Madjar et al., MINIMALLY INVASIVE PERVAGINAM PROCEDURES FOR THE TREATMENT OF FEMALE STRESS-INCONTINENCE USING A NEW PUBIC BONE ANCHORING SYSTEM, Artificial organs, 22(10), 1998, pp. 879-885
The purpose of this ongoing study is to evaluate the safety and effica
cy of new minimally invasive pervaginam cystourethropexy and sling pro
cedures for the treatment of female genuine stress urinary incontinenc
e. A total of 75 women (mean age, 52.8 years) underwent either a cysto
urethropexy or a sling procedure. A miniature bone anchor and a staple
-like bone anchor driver were used for the fixation of periurethral ti
ssue or a xenogenic sling to the pubic bone. With a mean follow-up of
eight months, 61 patients (82%) were completely cured of stress incont
inence, 10 (14%) reported a more than 50% decrease in pad usage, and 4
patients showed failure early following surgery. The exclusively perv
aginam cystourethropexy and sling procedures are minimally invasive, s
afe, and effective. Further experience and longer follow-up are necess
ary to establish their role in the treatment of women with stress urin
ary incontinence.