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Related Experiment Videos

Colpo-wrap: a new continence procedure.

Thomas M Boemers1, Christa M Schimke

  • 1Department of Paediatric Surgery, Landeskliniken Salzburg and Paracelsus Medical University, Salzburg, Austria. T.Boemers@salk.at

BJU International
|April 21, 2005
PubMed
Summary

A new colpo-wrap surgical technique effectively treats urinary incontinence in females by increasing bladder outlet resistance. This method offers a viable alternative for managing female incontinence, achieving dryness in most patients.

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Area of Science:

  • Urology
  • Gynecology
  • Pediatric Surgery

Background:

  • Urinary incontinence in girls and women presents significant challenges.
  • Existing treatments for female urinary incontinence have limitations.
  • Neurogenic bladder-sphincter dysfunction and anatomical anomalies are common causes.

Purpose of the Study:

  • To introduce and evaluate a novel surgical technique, the colpo-wrap, for enhancing bladder outlet resistance.
  • To assess the efficacy of the colpo-wrap procedure in treating urinary incontinence in female patients.

Main Methods:

  • The study involved six female patients with urinary incontinence.
  • The colpo-wrap procedure involves mobilizing the anterior vaginal wall and wrapping it around the bladder neck and proximal urethra.

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  • Procedures were tailored to individual patient needs, with some combined with bladder augmentation and Mitrofanoff procedures.

    • Main Results:

    • The colpo-wrap procedure successfully increased bladder outlet resistance and urethral coaptation.
    • Five out of six patients achieved complete dryness post-surgery.
    • Transurethral catheterization was feasible in all patients requiring intermittent catheterization.

    Conclusions:

    • The colpo-wrap technique is a feasible and effective surgical option for female urinary incontinence.
    • This method provides a reasonable alternative to existing treatments.
    • The procedure demonstrates promising results in improving continence and quality of life.