Endoscopic vesicourethropexy. Experience and complications

Area of Science:

• Urology
• Gynecology

Background:

• Stress urinary incontinence (SUI) is a common condition, particularly in women with a history of pelvic surgery.
• Previous SUI procedures often have suboptimal outcomes, necessitating alternative treatment options.

Purpose of the Study:

• To evaluate the efficacy and safety of optical vesicourethropexy for treating SUI.
• To assess outcomes in patients with complex histories, including prior pelvic operations and failed incontinence procedures.

Main Methods:

• Optical vesicourethropexy was performed on 31 patients diagnosed with SUI.
• Patient data included surgical history, previous incontinence treatments, and procedural outcomes.

Main Results:

• A cure or improvement rate of 90% was achieved in the treated patients.
• Complications were observed in 38% of cases, including mucosal erosion and small bowel obstruction.
• Patients with previous pelvic surgery or complex medical issues showed excellent results.

Conclusions:

• Optical vesicourethropexy is a highly effective treatment for SUI, especially in patients with challenging surgical histories.
• While effective, the procedure carries a significant complication rate that requires careful consideration and patient selection.