G M Ghoniem1, M E Hassouna. 1. Department of Urology, Tulane University School of Medicine, New Orleans, Louisiana 70112-2699, USA.
Abstract
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.
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.