Experience with a bone anchor sling for treating female stress urinary incontinence: outcome at 30 months.
OBJECTIVE
To evaluate the clinical and video-urodynamic outcome in women with by stress urinary incontinence (SUI) treated with a bone-anchored pubovaginal sling.


METHODS
The study included 70 women with SUI (as evaluated by a clinical examination, a voiding questionnaire, a short pad-test and video-urodynamics) who had a bone-anchor sling procedure, with or without cystocele repair, from January 1999 to December 2001; they were re-evaluated after a long-term follow-up (mean 30 months).


RESULTS
The long-term outcome showed a success rate of > 95%; the clinical and video-urodynamic findings showed good functional and anatomical results, and an improvement in voiding performance in most patients. There was a low incidence of complications during and after surgery (2.8%).


CONCLUSIONS
This approach gives, in highly selected patients, a high success rate and low incidence of complications. The technique is easy to learn and the costs to the financing bodies and public healthcare are low, making it a candidate for an alternative procedure to the standard techniques for SUI.
Carbone
A
A
Department of Urology, University of Rome La Sapienza, Policlinico Umberto I, Viale del Policlinico, 00161 Rome, Italy. antonio.carbone@uniroma1.it
Palleschi
G
G
Ciavarella
S
S
Morello
P
P
Tomiselli
G
G
Parascani
R
R
Tubaro
A
A
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D010570:Pessaries; D011182:Postoperative Care / Q000379:methods; D011630:Pubic Bone / Q000601:surgery*; D013526:Surgical Mesh; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014554:Urination / Q000502:physiology; D014563:Urodynamics; D014621:Vagina / Q000601:surgery*