title: Laparoscopic approaches to the treatment of intrinsic urethral weakness (type III stress urinary incontinence).
abstract: The treatment of intrinsic urethral weakness (Type III stress urinary incontinence) has traditionally been accomplished by the performance of a sling cystourethropexy or the placement of an artificial urinary sphincter. As experience with operative laparoscopy continues to increase, the possibility of performing these procedures from a laparoscopic approach becomes realistic. We report our experience with the laparoscopic performance of a sling cystourethropexy and placement of an artificial urinary sphincter in the canine model. On the basis of initial results, we believe these techniques are feasible in human subjects.
authors.affiliation: Department of Urology, University of Iowa College of Medicine, Iowa City.
authors.forename: K E
authors.initials: KE
authors.lastname: Stanley
authors.forename: K J
authors.initials: KJ
authors.lastname: Kreder
authors.forename: H N
authors.initials: HN
authors.lastname: Winfield
authors.forename: M B
authors.initials: MB
authors.lastname: Cohen
mesh_terms: D000818:Animals; D004195:Disease Models, Animal; D004285:Dogs; D005260:Female; D010535:Laparoscopy / Q000379:methods* / Q000592:standards; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D016741:Urinary Sphincter, Artificial / Q000592:standards*