[Female stress urinary incontinence. Surgical repair with pubovaginal sling techniques].
OBJECTIVE
To review the treatment of female stress urinary incontinence by new systems of tension-free urethral sling TVT type (Tension free vaginal tape) or IVS (intravaginal slingplasty), and the bone anchoring trasvaginal sling procedure Infast.


METHODS
We describe the surgical techniques of the various procedures and perform a bibliographic review on the topic.


CONCLUSIONS
The pubovaginal sling has become the gold standard in the treatment of female stress urinary incontinence, mainly if there is sphincter intrinsic dysfunction. The concept of tension free medium urethra support has been the most important contribution, that questions the classification of incontinence in types I, II and III, because the pubocervical tension free sling can correct all three. Tension free urethral sling techniques have demonstrated to be effective, minimally invasive with a low complication rate, easily reproducible, and with good continence results in the mid-term.
Escribano Patiño
Gregorio
G
Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Hernández Fernández
Carlos
C
Subirá Ríos
David
D
Castaño González
Irene
I
Moralejo Gárate
Mercedes
M
Martinez Salamanca
Juan Ignacio
JI
D004867:Equipment Design; D005260:Female; D006801:Humans; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods*