[Minimally invasive bone anchor in therapy of female stress incontinence. A good concept?].
Transvaginal pubic bone anchoring represents a minimally invasive technique for cystourethropexy or urethral sling suspension. This study assesses the results of this procedure. Cystourethropexy was performed in 4 and a sling procedure in 13 of 17 patients. The stress incontinence showed a median improvement from grade 2 to 1.35 (p = 0.01). Nine patients had impaired vaginal wound healing with urge symptoms. Revision was necessary in eight of them. An unfavorable outcome could not be significantly correlated with the surgical technique, the surgeon, the patient's age or the number of previous operations. The technique of minimally invasive bone anchoring must be regarded as unsuitable in view of the largely poor wound healing associated with irritation symptoms.
Schostak
M
M
Urologische Klinik, Universitätsklinikum Benjamin Franklin, Freie Universität Berlin, Hindenburgdamm 30, 12200 Berlin. schostak@medizin.fu-berlin.de
Heicappell
R
R
Müller
M
M
Sauter
T
T
Steiner
U
U
Miller
K
K
D000328:Adult; D000368:Aged; D001863:Bone Screws; D020681:Colposcopes; D005260:Female; D005549:Foreign-Body Reaction / Q000209:etiology / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D013530:Surgical Wound Infection / Q000209:etiology / Q000601:surgery; D013536:Suture Techniques / Q000295:instrumentation; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics