[Urinary stress incontinence and celioscopy: 20-month-experience of an original technique of colposuspension via extraperitoneal endoscopy. "Pantalon technique"].
The authors describe an original extraperitoneal endoscopic colpo-suspension procedure for the treatment of stress urinary incontinence in women, by the use of a Y-shaped non-absorbable mesh (polypropylene). The short Y arms are sutured to the front-lateral walls of the vagina, the Y basis is grasped through a short suprapubic incision involving the skin and subcutaneous fat with a pair of forceps to perforate the muscle aponeurosis. This technique allows an adequate and firm tension on the mesh under endoscopic control. The basis of the mesh is then sutured at the pubic bone insertion of the rectus abdomini. So far, we have performed 28 operations--between April 1995 and December 1996. The objective cure rate is 88.5%. Two laparotomy had to be performed.
Troisfontaine
E
E
Service d'Urologie, C.H.R. de la Citadelle.
Nicolas
H
H
Petit
R
R
D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D011183:Postoperative Complications / Q000209:etiology; D019736:Prostheses and Implants; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics
D011126:Polypropylenes
Incontinence urinaire d'effort et coelioscopie: 20 mois d'expérience d'une technique originale de colposuspenion par voie endoscopique extrapéritonéale. "Technique du pantalon".