title: Experience with a bone anchor sling for treating female stress urinary incontinence: outcome at 30 months.
abstract: 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.
authors.affiliation: Department of Urology, University of Rome La Sapienza, Policlinico Umberto I, Viale del Policlinico, 00161 Rome, Italy. antonio.carbone@uniroma1.it
authors.forename: A
authors.initials: A
authors.lastname: Carbone
authors.forename: G
authors.initials: G
authors.lastname: Palleschi
authors.forename: S
authors.initials: S
authors.lastname: Ciavarella
authors.forename: P
authors.initials: P
authors.lastname: Morello
authors.forename: G
authors.initials: G
authors.lastname: Tomiselli
authors.forename: R
authors.initials: R
authors.lastname: Parascani
authors.forename: A
authors.initials: A
authors.lastname: Tubaro
mesh_terms: 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*