Is minimally invasive bone anchoring a good treatment concept for female stress incontinence? A good concept?

Transvaginal pubic bone anchoring represents a minimally invasive technique for cystourethropexy or urethral sling suspension. This study assesses the results of this procedure. Cystourethropexy was performed in 4 and a sling procedure in 13 of 17 patie nts. The stress incontinence showed a median improvement from grade 2 to 1. 35 (p=0.01). Nine patients bad impaired Vaginal wound healing with urge sym ptoms. Revision was necessary in eight of them. An unfavorable outcome coul d not be significantly correlated with the surgical technique,the surgeon, the patient's age or the number of previous operations. The technique of minimally invasive bone anchoring must be regarded as unsu itable in view of the largely poor wound healing associated with irritation symptoms.