Laparoscopic extraperitoneal bladder neck suspension (LEBNS) for stress urinary incontinence.
Seventy-nine patients of bladder neck suspension using an extraperitoneal variation of laparoscopic surgery were performed for the treatment of stress urinary incontinence. Using a balloon dissector the anterior vesical pelvic space is secured. The bladder neck suspension similar to the Burch operation was performed through a laparoscopic procedure. Symptoms of patients were assessed preoperatively and at one and six months following surgery. Operative times and complications were also evaluated. Success rate was 89.8% at six months. Complications such as bladder perforations were observed. Laparoscopic extraperitoneal bladder neck suspension-(LEBNS) is a viable option to the conventional methods of suspension, it has definite cosmetic advantages, is devoid of intraperitoneal dissection and adhesion, and has a comparable success rate.
Yang
S C
SC
Department of Urology, Yonsei University College of Medicine, Seoul, Korea.
Park
D S
DS
Lee
J M
JM
Graham
R W
RW
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D007902:Length of Stay; D008875:Middle Aged; D011183:Postoperative Complications; D011788:Quality of Life; D012189:Retrospective Studies; D001743:Urinary Bladder / Q000033:anatomy & histology / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*