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Related Experiment Videos

Percutaneous bladder neck suspension: technique and results

R R Dmochowski1, R A Appell

  • 1Department of Urology, University of Tennessee, Memphis 38163, USA.

Techniques in Urology
|October 1, 1996
PubMed
Summary

Percutaneous bladder neck stabilization (PBNS) effectively treats stress incontinence in women. This minimally invasive outpatient procedure shows a 94% cure rate with minimal complications.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Female Pelvic Medicine

Background:

  • Stress urinary incontinence is often caused by hypermobile urethra and bladder neck.
  • Traditional surgical treatments can be invasive with significant recovery times.

Purpose of the Study:

  • To evaluate the efficacy and safety of modified Percutaneous Bladder Neck Stabilization (PBNS) for stress incontinence.
  • To assess the long-term outcomes of this minimally invasive outpatient procedure.

Main Methods:

  • Modified PBNS involves strong suture anchoring to the symphysis pubis with a bone anchor, Z-suture incorporation of vaginal wall, and loose urethral resuspension.
  • Cystoscopic verification ensures correct suture placement, avoiding bladder entry.
  • The procedure was performed on 71 women.

Main Results:

  • An overall cure rate of 94% for stress incontinence was observed at 12-month follow-up.
  • Minimal morbidity was reported, with one case of retropubic abscess requiring drainage and one skin sinus tract requiring excision.
  • No cases of urinary retention exceeding three weeks were encountered.

Conclusions:

  • Modified PBNS is a safe and effective minimally invasive outpatient procedure for stress incontinence.
  • It achieves continence results comparable to other retropubic and transvaginal procedures with reduced morbidity.

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