title: Minimally invasive pervaginam procedures for the treatment of female stress incontinence using a new pubic bone anchoring system.
abstract: The purpose of this ongoing study is to evaluate the safety and efficacy of new minimally invasive pervaginam cystourethropexy and sling procedures for the treatment of female genuine stress urinary incontinence. A total of 75 women (mean age, 52.8 years) underwent either a cystourethropexy or a sling procedure. A miniature bone anchor and a staple-like bone anchor driver were used for the fixation of periurethral tissue or a xenogenic sling to the pubic bone. With a mean follow-up of eight months, 61 patients (82%) were completely cured of stress incontinence, 10 (14%) reported a more than 50% decrease in pad usage, and 4 patients showed failure early following surgery. The exclusively pervaginam cystourethropexy and sling procedures are minimally invasive, safe, and effective. Further experience and longer follow-up are necessary to establish their role in the treatment of women with stress urinary incontinence.
authors.affiliation: Department of Urology, Bnai Zion Medical Center, Haifa, Israel.
authors.forename: S
authors.initials: S
authors.lastname: Madjar
authors.forename: M
authors.initials: M
authors.lastname: Wald
authors.forename: S
authors.initials: S
authors.lastname: Halachmi
authors.forename: E
authors.initials: E
authors.lastname: Issaq
authors.forename: B
authors.initials: B
authors.lastname: Moskovitz
authors.forename: M
authors.initials: M
authors.lastname: Beyar
authors.forename: O
authors.initials: O
authors.lastname: Nativ
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016496:Incontinence Pads; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D017060:Patient Satisfaction; D011630:Pubic Bone / Q000601:surgery*; D012449:Safety; D013528:Surgical Staplers; D013536:Suture Techniques / Q000295:instrumentation; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014554:Urination / Q000502:physiology; D014621:Vagina / Q000601:surgery*