Related Experiment Videos
Needle suspension procedures for female incontinence
1Tower Urology Continence Center, 8631 West 3rd Street, Suite 900E, Los Angeles, CA 90048, USA. DOofpp@aol.com
The Urologic Clinics of North America
|December 13, 2002
Summary
Needle suspensions for female stress urinary incontinence show poor long-term efficacy compared to sling or retropubic procedures. Current data suggests a limited role for needle suspensions in managing this condition.
Area of Science:
- Urology
- Female Pelvic Medicine
Background:
- Needle suspension procedures were historically used for female stress urinary incontinence.
- Over 40 years have seen modifications to needle suspension techniques.
Purpose of the Study:
- To evaluate the long-term efficacy of needle suspension procedures for female stress urinary incontinence.
- To compare the long-term outcomes of needle suspensions with alternative treatments.
Main Methods:
- Review of long-term outcome data for needle suspension procedures.
- Comparison of cure/dry rates at > 48 months with sling and retropubic suspension procedures.
Main Results:
- Needle suspensions demonstrate a cure/dry rate of only 67% at > 48 months.
- Sling procedures show an 83% long-term efficacy.
- Retropubic suspensions achieve an 84% long-term efficacy.
Conclusions:
- Long-term outcome data does not support the continued efficacy of needle suspension procedures.
- Sling and retropubic suspension procedures offer significantly better long-term results.
- Needle suspensions have limited current application in managing stress urinary incontinence due to suboptimal long-term outcomes.