title: Vesical neck suspension under vision with cystotomy enhances treatment of female incontinence.
abstract: 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.
mesh_terms: 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*