Vesical neck suspension under vision with cystotomy enhances treatment of female incontinence.
Failure to surgically correct incontinence usually results from inadequate screening of patients with hyperreflexic incontinence, improper fixation of the urethra or yielding of tissues that have supported the repair. A surgical approach is described which fixes the bladder neck to the rectus tendon and adjacent pubic periosteum, under direct vision, through a cystotomy incision. The procedure achieves good continence in more than 90 per cent of the cases. Temporary postoperative voiding dysfunction occurred in about half of the patients.
D000328:Adult; D000368:Aged; D002408:Catheters, Indwelling; D003558:Cystoscopy; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D001743:Urinary Bladder / Q000601:surgery; D014546:Urinary Catheterization; D014547:Urinary Diversion / Q000379:methods; D014550:Urinary Incontinence, Stress / Q000601:surgery*