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Sutureless endoscopic colposuspension with fibrin sealant
P Kiilholma1, M Haarala, H Polvi
1Department of Obstetrics and Gynecology, Turku University Central Hospital, Finland.
Techniques in Urology
|July 1, 1995
Summary
Laparoscopic colposuspension using fibrin sealant offers a promising alternative to sutures for treating stress urinary incontinence. This minimally invasive technique shows high success rates in improving or eliminating symptoms in women.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Stress urinary incontinence (SUI) significantly impacts women's quality of life.
- Traditional surgical treatments for SUI often involve sutures, which can lead to complications.
Purpose of the Study:
- To evaluate the efficacy and safety of endoscopic colposuspension using fibrin sealant as a suture substitute for SUI.
- To assess the feasibility of a minimally invasive approach for SUI correction.
Main Methods:
- Seventeen women with urodynamically verified SUI underwent a two-puncture endoscopic colposuspension.
- Fibrin sealant (Tisseel) was applied to the urethrovesical area, avoiding traditional sutures.
- The procedure averaged 20 minutes, with early discharge on postoperative day 1.
Main Results:
- Excellent immediate response was observed in most patients.
- At 6-month follow-up, 10 out of 12 patients were completely dry, and 2 showed marked improvement.
- The procedure demonstrated a favorable safety profile with minimal complications.
Conclusions:
- Endoscopic colposuspension with fibrin sealant is a promising, minimally invasive technique for treating SUI.
- This approach offers a potentially effective sutureless alternative for SUI correction.
- Further research is warranted to confirm long-term outcomes and broader applicability.