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Bone-anchored suburethral sling: surgical technique and outcomes
Alvaro Lucioni1, Kathleen C Kobashi
1The Continence Center at Virginia Mason Medical Center, 1100 Ninth Avenue, PO Box 900, Mailstop C7-URO, Seattle, WA 98101, USA. Alvaro.Lucioni@vmmc.org
Current Urology Reports
|August 28, 2009
Summary
The bone-anchored sling (BAS) offers a safe and effective treatment for stress urinary incontinence (SUI). Modified techniques and materials make BAS a viable option, especially for moderate to severe or recurrent cases.
Area of Science:
- Urology
- Gynecology
- Surgical Innovation
Background:
- The autologous rectus fascia pubovaginal sling is the standard for stress urinary incontinence (SUI) but involves significant graft harvest morbidity.
- Less invasive alternatives like midurethral slings and bone-anchored slings (BAS) were developed to mitigate these risks.
- Early concerns regarding BAS outcomes and complications led to decreased adoption.
Purpose of the Study:
- To evaluate the safety and efficacy of modified transvaginal bone-anchored sling (BAS) placement for stress urinary incontinence (SUI).
- To assess the potential of BAS as a treatment option for moderate to severe or recurrent SUI.
Main Methods:
- Review of recent evidence and technique modifications for transvaginal bone-anchored sling (BAS) placement.
- Analysis of outcomes and complications associated with updated BAS procedures.
Main Results:
- Modified transvaginal BAS placement has demonstrated safety and effectiveness in treating SUI.
- Recent evidence supports BAS as a reasonable option for patients with moderate to severe and/or recurrent SUI.
Conclusions:
- Transvaginal bone-anchored sling (BAS) placement, with technique and material advancements, is a safe and effective treatment for SUI.
- Bone-anchored slings (BAS) represent a promising option for managing complex SUI cases, including those that are recurrent or severe.
