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Extraperitoneal laparoscopic urethropexy with Marlex mesh
D S Blander1, V L Carpiniello, J F Harryhill
1Division of Urology, Hospital of the University of Pennsylvania, Philadelphia, USA.
Urology
|May 1, 1999
Summary
Extraperitoneal laparoscopic urethropexy (ELU) offers a safe and rapid treatment for female stress urinary incontinence (SUI). While effective for many, de novo urgency incontinence is a potential concern requiring further study.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Female stress urinary incontinence (SUI) affects many women, necessitating effective treatment options.
- Minimally invasive surgical techniques are increasingly preferred for SUI management.
- Extraperitoneal laparoscopic urethropexy (ELU) is a newer approach utilizing laparoscopic stapling and Marlex mesh.
Purpose of the Study:
- To evaluate the initial outcomes and provide a 2.5-year interim analysis of Extraperitoneal Laparoscopic Urethropexy (ELU).
- To assess the safety, efficacy, and durability of ELU for treating female stress urinary incontinence (SUI).
Main Methods:
- Twenty-four women with urodynamically confirmed genuine SUI underwent attempted ELU.
- Data collected included operative details and follow-up via telephone interview.
- Success defined as using ≤1 pad daily and recommending the procedure.
Main Results:
- ELU was completed in 22 patients with a mean operative time of 69 minutes.
- At 2.5 years, 70% of patients (14/20) achieved subjective cure based on strict criteria.
- No intraoperative complications or permanent urinary retention occurred.
Conclusions:
- ELU is a rapid and safe procedure for SUI in patients without prior pelvic surgery.
- De novo urgency incontinence emerged as a significant adverse effect in some patients.
- Long-term durability of ELU requires further investigation in specific patient subsets.