Bladder neck prop using vaginal wall island for intrinsic sphincteric deficiency in elderly patients: a new technique
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1Department of Urology, Tulane University School of Medicine, New Orleans, Louisiana 70112-2699, USA.
Objectives:
A simple new technique, using a trapezoid island of vaginal wall, is described for elderly female patients undergoing transvaginal pelvic prolapse repair and suffering from stress urinary incontinence secondary to intrinsic sphincteric deficiency.
Methods:
Fifteen elderly women underwent bladder neck prop in association with other pelvic prolapse surgery. The mean follow-up period was 20 months.
Results:
Twelve of 14 patients (85.7%) were dry. One patient was lost to follow-up.
Conclusions:
Bladder neck prop provided urethral and bladder neck compression and support. The major advantage of this approach is avoiding extensive dissection and/or abdominal incision in elderly female patients.
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