Needle suspension procedures for female incontinence.
In the past, needle suspensions were considered a viable option to treat female stress urinary incontinence. There have been many modifications since the first needle suspension over 40 years ago. Despite these modifications, the long-term outcome data does not support the efficacy of needle suspension procedures, with only a 67% cure/dry rate at > 48 months. The long-term results are much more efficacious with the sling procedure (83%), as well as with retropubic suspensions (84%). Needle suspensions have historical significance, but because of the poor long-term results, they currently have a limited role in the management of stress urinary incontinence.
Bodell
Dawn M
DM
Tower Urology Continence Center, 8631 West 3rd Street, Suite 900E, Los Angeles, CA 90048, USA. DOofpp@aol.com
Leach
Gary E
GE
D005260:Female; D006801:Humans; D009339:Needles; D017063:Outcome Assessment, Health Care; D013536:Suture Techniques; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures