title: [Aponeurotic suspension of the bladder neck as elective treatment of minimal stress urinary incontinence in women].
abstract: To correct urine incontinence at minimal exertion in woman, most especially in those who have undergone unsuccessful vaginal techniques, we advice the aponeurotic suspension of the vesical cervix, with anchorage, in fixed tissue (Cooper's ligament or ischiopubic branch) in order to avoid displacement of the supporting band and new drops of the vesical cervix, with incontinence relapse in the long run. Since 1983 this procedure has been performed in 400 women, with various degrees of urinary incontinence on exertion, 140 of whom had previously undergone other procedures. Our results have been completely successful in 383 patient who at year from surgery no longer presented urinary incontinence of any degree. These good results lead us to recommend this procedure as the most suitable to solve urinary incontinence at minimal exertion, relapses and that associated to feeling of urgency in many occasions.
authors.affiliation: Servicio de Urología, Clínica Sagrada Familia, Barcelona.
authors.forename: R
authors.initials: R
authors.lastname: Serrate
authors.forename: R
authors.initials: R
authors.lastname: Gutiérrez
authors.forename: G
authors.initials: G
authors.lastname: Rius
authors.forename: J
authors.initials: J
authors.lastname: Prats
authors.forename: A
authors.initials: A
authors.lastname: Wahab
authors.forename: R
authors.initials: R
authors.lastname: Regué
mesh_terms: D000328:Adult; D000368:Aged; D017558:Elective Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D017568:Rectus Abdominis; D001743:Urinary Bladder / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*
vernacular_title: Suspensión aponeurótica del cuello vesical como tratamiento electivo de la incontinencia urinaria a mínimos esfuerzos en la mujer.