[Vestibular approach in urinary incontinence in women. Original technic. Experience. Results].
Presentation of an original technique to treat S.U.I. in women. This technique contains in itself many others, both in terms of the conceptual anatomical base on which it is inspired, and in the possibilities of its surgical application. Lisfranc's approach, supra-meatic and infra-clitoridean, allows to section both the pubo-urethral ligament and Colles fascia thus reaching into the Retzius. It makes possible the use of solid anatomical elements (pelvian fascia, elevator, urethro-vaginal septum, etc...) thus allowing to suspend the pelvian base from fascia ligaments or from the abdominal wall muscles. Sixty patient who had simple S.U.I. received treatment, with a 95% efficacy index based on the evaluation of the urodynamic, bacteriological and clinical studies. We conclude with an evaluation on the validity of the results obtained by emphasizing the high efficacy index, simplicity, low morbidity and short hospital stay.
Romero Tenorio
M
M
Servicio de Urología, Hospital Universitario Puerta del Mar, Cádiz.
Arroyo Maestre
J M
JM
Ibáñez Suarez
R
R
Solano Castro
D
D
Aragón Montero
M J
MJ
Carrero Molinillo
C
C
Gutiérrez Somoscarrera
J A
JA
Fariñas Varo
J M
JM
Flores Ginés
J
J
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D013514:Surgical Procedures, Operative / Q000379:methods; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014621:Vagina
La vía de abordaje vestibular en la incontinencia de orina en la mujer. Técnica original. Experiencia. Resultados.