TECHNICAL NOTES   

Minerva Urologica e Nefrologica 1998 December;50(4):271-5

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: Italian

Colposuspension with prolene-mesh. A new technique for urinary stress incontinence correction

Valenti P., D’Ascenzo R.

Ospedale «Regina Apostolorum», Albano Laziale (Roma), Unità Operativa di Urologia

The results of colposuspension for correcting urinary stress incontinence, both transabdom-inal, like Burch procedure, and transvaginal like Stamey-Pereyra procedure are, up to date, good, but not perfect at long-term. The cutting of the tissues from distal end of the sutures seems to be the main reason of failure of the ope-ration. The authors propose a new technique of colposuspension by means of a particular suture made by the joining a prolene-mesh and a prolene-suture bilaterally placed along the urethra to obtain a strong , but natural support without risk of urethral erosion. The authors present the preliminary report of the first sixteen consecutive operations performed in patients with genuine urinary stress incontinence of first and second degree, according to Blaivas classification, diagnosed by medical history, objective findings, urodynamic tests and cystography. The follow-up in all the patients was six months: undoubtely brief, but sufficient to refer on the feasibility and the efficacy of the procedure, the easy performing and the scarse onset of early complications as wound infection or troubles related to the prolene-mesh.