[Magnetic closure with colposuspension in complicated recurrent incontinence]

The magnetic sphincter consists of a bow shaped retropubical implanted magnet, fixed on the inner rim of the symphysis. Another removable magnet is installed in the vagina, both gently closing the urethra. 31 patients with severe recurrent stress incontinence after repeated operations (hypotone urethra mean = 17 cm H2O upp rest, mean = 59 years) were operated on with the magnetic sphincter system. 16 patients have been operated with this method, getting a curing rate of 12.4 continent patients do not use to vaginal magnet because of complaints. This system has now been modified. The modification described herein consists of a colposuspension over the upper edge of the implanted magnet. With this modification, 12 of the patients became continent, 10 resulting from the colposuspension alone, 2 became adequately continent with the additional intravaginal magnet. The idea of a colposuspension over the upper edge of the magnetic implant is convincing by its success in recurrent stress incontinence, and gives the possibility to increase the continence rate by using the intravaginal magnet. The operation is easy to perform and the result effective.