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[Laparoscopic technique in the treatment of stress urinary incontinence]
Carlos Hernández Fernández1, Andrés De Palacio España, Gregorio Escribano Patiño
1Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Objectives:
To evaluate the usefulness of laparoscopy as a corrective technique for urinary stress incontinence in our experience.
Methods:
We review 72 cases of urinary stress incontinence who were treated by laparoscopic bladder neck suspension between April 1996 and December 2001.
Results:
Average operative time was less than 40 minutes and mean hospital stay was 1.6 days. The continence rate was 82% after a mean follow up of 32 months. From the 12 patients with incontinence recurrence, 7 had the urinary incontinence recurrence within 2 months from surgery.
Conclusions:
The results of laparoscopic correction in urinary stress incontinence seem to be satisfactory in the midterm, although it is necessary to have at least 5 years of follow up to be able to compare it with consolidated techniques considered the gold standard in the treatment of this disease.