title: Evaluation of a minimal-incision pubovaginal suspension as an adjunct to other pelvic-floor surgery.
abstract: In September 1987, Gittes and Loughlin first described a minimal-incision pubovaginal suspension as a modification of the Pereyra needle suspension urethropexy. Thirty-four women who underwent the minimal-incision urethropexy procedure were studied for up to 13 months postoperatively. Although 21 patients also had the anterior vaginal wall opened to perform concomitant pelvic-floor surgery, the principles of minimal suprapubic incision, full-thickness vaginal sutures, and no dissection of endopelvic fascia were followed strictly in all 34 cases. With a mean follow-up of 9.5 months, the objective cure rate was 91% and subjectively, 97% of the patients were either cured or improved. This technically simpler procedure is effective for treating genuine stress urinary incontinence in women who also require surgical repair of other pelvic-floor defects.
authors.affiliation: Department of Obstetrics and Gynecology, Methodist Hospital of Indiana, Indianapolis, Indiana.
authors.forename: J T
authors.initials: JT
authors.lastname: Benson
authors.forename: A
authors.initials: A
authors.lastname: Agosta
authors.forename: E
authors.initials: E
authors.lastname: McClellan
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D014521:Urethra / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014621:Vagina / Q000601:surgery*