[Guidelines for the conventional surgical indications for urinary stress incontinence in women (colposuspension, aponeurotic support of the bladder neck].
The equivalence of the functional results of the suburethral sling and open colposuspension and the greater morbidity of colposuspension is such that the indications for traditional surgery correspond to the contraindications for suburethral sling: there no longer seem to be but few indications for supporting the bladder neck using an aponeurotic swing; caution recommends preferring colposuspension when the functional result of placing a suburethral sling risks being compromised by either vaginal trophicity abnormalities or previous repair to the urethra such as suburethral diverticulum or urethrovaginal fistula. Laparoscopic colposuspension is not recommended to treat urinary stress incontinence in women. This technique may be warranted if other laparoscopic procedures are necessary and should be carried out by an experienced surgeon trained in this approach.
Boccon Gibod
L
L
Clinique Urologique, CHU BICHAT, 46, rue Henri Huchard, 75018 Paris, France. laurent.boccon-gibod@bch.aphp.fr
Hermieu
J-F
JF
D005260:Female; D006801:Humans; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures