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[Treatment of urinary stress incontinence using a laparoscopic technique]
Carlos Hernández Fernández1, Andrés de Palacio España, Gregorio Escribano Patiño
1Servicio de Urología, Hospital General Universitario Gregorio Marañón, Dr. Esquerdo, 46 28007 Madrid, España.
Objectives:
To evaluate our own experience with laparoscopic bladder neck suspension. The laparoscopic procedure is performed by anchoring a mesh from the vagina to the ligament, thus creating tension. This technique has several characteristics that make it very attractive: it is easy to learn, operating times are short and it is a commonly indicated procedure.
Methods:
We present a series of 72 women with history of urinary stress incontinence to whom a laparoscopic bladder neck suspension was indicated.
Results:
The procedure was completed in 69 patients, with a mean operative time of 40 minutes. Mean hospital stay was 1.6 days (Range 1 to 5 days). Continence rate was 82% after a median follow up of 31 months. 12 patients recurred after the operation, 7 of them recurred in the first 2 months and 5 had previous surgical history; this makes us think whether the technique was not adequately performed or the indication for treatment was not suitable.
Conclusions:
We believe that, although it is necessary a longer follow-up, laparoscopic bladder neck suspension can be considered a good alternative in the treatment of urinary stress incontinence.