Laparoscopic-assisted pubovaginal sling procedure for the treatment of stress urinary incontinence.
A 43-year-old woman with severe stress urinary incontinence and low proximal urethral pressure underwent a successful laparoscopic-guided primary pubovaginal sling procedure. We performed single-puncture transperitoneal prevesical dissection to define safely the areas of periurethral fascial perforation and anterior abdominal wall fixation of the graft. We believe that a laparoscopic-assisted sling procedure holds promise for minimizing the risk of inadvertent neural, vascular, and urinary tract injuries associated with conventional approaches, by eliminating blind manipulations within the prevesical space.
Pelosi
M A
MA
Pelosi Women's Medical Center, 350 Kennedy Boulevard, Bayonne, NJ 07002, USA.
Pelosi
M A
MA
D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D013526:Surgical Mesh; D014550:Urinary Incontinence, Stress / Q000601:surgery*