[Percutaneous bladder neck suspension with osseous fixation. Surgical technique and initial results in 26 patients].
A modification of percutaneous needle suspension using a bone anchor system for fixation of the suture to the pubic bone is presented. After a follow-up of 3-11 months (mean 6,8) the postoperative success-rate in 26 patients is 73.1% (n = 19). A removal of bone anchor and suture was necessary in 2 patients because of bacterial infection or soft tissue granuloma. We can not reinforce the very optimistic results of the first reports published in the recent years. Therefore it is still questionable whether percutaneous needle bladder neck suspension should be a first line procedure for the treatment of female urinary stress incontinence.
Schultheiss
D
D
Klinik für Urologie, Medizinische Hochschule Hannover.
Höfner
K
K
Oelke
M
M
Grünewald
V
V
Jonas
U
U
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020706:Laparoscopes; D008875:Middle Aged; D009339:Needles; D011183:Postoperative Complications / Q000503:physiopathology; D011630:Pubic Bone / Q000601:surgery*; D012086:Reoperation; D013525:Surgical Instruments; D013536:Suture Techniques / Q000295:instrumentation*; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics / Q000502:physiology