[A new surgical aid--the "endo-stitch disposable suture device"--for pelviscopic pre-peritoneal Burch incontinence operation. A pilot study].
OBJECTIVE
It is the therapeutical aim of urogynecology to correct urinary incontinence. Which advantages offers the use of the Endo-Stitch needle in Burch's pelviscopic colposuspension?


METHODS
When extending the field of pelviscopic surgery, in a prospective study we performed Burch's pelviscopic preperitoneal colposuspension using the disposable Endo-Stitch suture instrument in 12 patients with stress incontinence grades 2 or 3. Clinical and urodynamic evaluations were performed before and 8.5 months after the pelviscopic operation.


RESULTS
Clinical and urodynamic follow-up examinations revealed continence in 10 (83%) out of 12 patients.


CONCLUSIONS
Our preliminary experience suggests that the pelviscopic incontinence operation by means of the Endo-Stitch needle is a good alternative to abdominal colposuspension. Follow-up results of a large number of patients will have to prove advantages in contrast to conservative surgery.
Gill
F
F
Gynäkologisch-Geburtshilfliche Abteilung, St. Josef-Krankenhaus, Wien.
Enzelsberger
H
H
D000328:Adult; D004209:Disposable Equipment; D004867:Equipment Design; D005260:Female; D006801:Humans; D007044:Hysterectomy; D020706:Laparoscopes; D008875:Middle Aged; D010865:Pilot Projects; D011183:Postoperative Complications / Q000601:surgery; D011446:Prospective Studies; D012086:Reoperation; D013536:Suture Techniques / Q000295:instrumentation*; D014549:Urinary Incontinence / Q000601:surgery*