K R Loughlin1. 1. Division of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts USA.
Abstract
PURPOSE: We describe a new technique, the endoscopic fascial sling, for the treatment of female urinary stress incontinence. MATERIALS AND METHODS: A total of 22 women 25 to 84 years old with urinary stress incontinence underwent this procedure. RESULTS: There were no urethral erosions or wound infections using the fascial strip. Of the women 16 (73%) are cured of incontinence and 4 (18%) are improved (use pads less frequently than preoperatively), and the procedure failed in 2 (9%). CONCLUSIONS: The endoscopic fascial sling offers a new alternative for the treatment of female stress incontinence, combining the reliability of sling procedures and the decreased morbidity of needle suspension techniques.
PURPOSE: We describe a new technique, the endoscopic fascial sling, for the treatment of female urinary stress incontinence. MATERIALS AND METHODS: A total of 22 women 25 to 84 years old with urinary stress incontinence underwent this procedure. RESULTS: There were no urethral erosions or wound infections using the fascial strip. Of the women 16 (73%) are cured of incontinence and 4 (18%) are improved (use pads less frequently than preoperatively), and the procedure failed in 2 (9%). CONCLUSIONS: The endoscopic fascial sling offers a new alternative for the treatment of female stress incontinence, combining the reliability of sling procedures and the decreased morbidity of needle suspension techniques.