[Treatment of urinary stress incontinence using a laparoscopic technique].
OBJECTIVE
To evaluate our own experience with laparoscopic bladder neck suspension. The laparoscopic procedure is performed by anchoring a mesh from the vagina to the ligament, thus creating tension. This technique has several characteristics that make it very attractive: it is easy to learn, operating times are short and it is a commonly indicated procedure.


METHODS
We present a series of 72 women with history of urinary stress incontinence to whom a laparoscopic bladder neck suspension was indicated.


RESULTS
The procedure was completed in 69 patients, with a mean operative time of 40 minutes. Mean hospital stay was 1.6 days (Range 1 to 5 days). Continence rate was 82% after a median follow up of 31 months. 12 patients recurred after the operation, 7 of them recurred in the first 2 months and 5 had previous surgical history; this makes us think whether the technique was not adequately performed or the indication for treatment was not suitable.


CONCLUSIONS
We believe that, although it is necessary a longer follow-up, laparoscopic bladder neck suspension can be considered a good alternative in the treatment of urinary stress incontinence.
Hernández Fernández
Carlos
C
Servicio de Urología, Hospital General Universitario Gregorio Marañón, Dr. Esquerdo, 46 28007 Madrid, España.
de Palacio España
Andrés
A
Escribano Patiño
Gregorio
G
Díez Cordero
Jose María
JM
Bielsa Carrillo
Alejandro
A
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000209:etiology; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D013526:Surgical Mesh; D013536:Suture Techniques; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D020535:Video-Assisted Surgery