Preperitoneal Laparoscopic RetropubicColposuspension in the Treatment of StressIncontinence: Mesh & Tacker Technique


Authors: P. Bartoš ;  Z. Zelenka
Authors‘ workplace: Oddělení gynekologie a minimálně invazivní chirurgie Nemocnice Na Homolce, Praha, přednosta MUDr. P. Bartoš, M. MED
Published in: Čes. Gynek.1999, , č. 5 s. 322-325
Category:

Overview

The Burch procedure has enjoyed in the last decade a favourable status among open surgicalrepairs for stress urinary incontinence. In the last few years this technique was adapted forendoscopic aplication. This results in decreased recovery time and diminished postoperativepatients discomfort. This endoscopic procedure was further simplified by means of extraperitone-al approach and through the use of Mesh & Tacker technique. This enables a high quality durablecolposuspension in significantly shortened operational time.Objective: Evaluation of preliminary results and experiences of the abovementioned new laparos-copic extraperitoneal approach in the treatment of stress incontinence.Setting: Department of Gynaecology and minimally invasive surgery Na Homolce Hospital.Design: Prospective pilot study.Methods: The patients with stress incontinence proven clinically and by means of urodynamicinvestigation (cystometry, stress profilometry and uroflowmetry) were included in the study. TheRetzius space was dissected laparoscopically via preperitoneal distention balloon (PDB, OriginMedsystems). Colpofixation to Coopers ligaments was achieved by means of Mesh & Tacker tech-nique, e.g. polypropylen Mesh and aplicator of helicose spirals (Origin Medsystems).Results: In this pilot study of initial 8 patients we may conclude that the abovementioned methodis promising. Of note is shortened operational time (35 min), easy performance without necessityof laparoscopic endosuturing and minimal tissue damage. The small amount of patients and shortfollow up period would not allow definite conclusions but all the patients are sofar fully conti-nent.

Key words:
stress incontinence, Burch, laparoscopy, preperitoneal and transperitoneal approach,Mesh & Tacker

Full text is not available online.
If interested in a scan of this journal, contact NTO ČLS JEP.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account