Experience with a bone anchor sling for treating female stress urinary incontinence: outcome at 30 months

Abstract

from January 1999 to December 2001; they were re-evaluated after a long-term followup (mean 30 months). RESULTSThe long-term outcome showed a success rate of > 95%; the clinical and videourodynamic 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%). CONCLUSIONSThis 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. KEYWORDSfemale urinary incontinence, bone-anchored sling, video-urodynamics, outcome OBJECTIVESTo evaluate the clinical and video-urodynamic outcome in women with by stress urinary incontinence (SUI) treated with a boneanchored pubovaginal sling. PATIENTS AND METHODSThe study included 70 women with SUI (as evaluated by a clinical examination, a voiding questionnaire, a short pad-test and videourodynamics) who had a bone-anchor sling procedure, with or without cystocele repair,

Transvaginal bone-anchored sling for the treatment of female stress urinary incontinence: effect of Valsalva leak point pressure and prior pelvic surgery on outcomes

“…Notably, the ISD cohort in this study comprised only three patients. Based on this experience, subsequent investigation used ISD as an absolute exclusion criterion [3]. In contrast to these authors, our experience may suggest a role for this sling type in the treatment of ISD.…”

“…Related investigation demonstrates dry rates ranging from 82-95% with a mean follow-up extending to 30 months [2,3]. Anatomical correction of the pubo-urethral complex and midurethral supports is also demonstrated radiographically [3]. Despite such findings, these investigators forward caution regarding the use of this sling type in cases of severe intrinsic sphincteric deficiency (ISD) and recommend appropriate patient selection to ensure optimal outcomes.…”

“…Related investigation demonstrates dry rates ranging from 82-95% with a mean follow-up extending to 30 months [2,3]. Anatomical correction of the pubo-urethral complex and midurethral supports is also demonstrated radiographically [3].…”

Bone-anchored suburethral sling: Surgical technique and outcomes

“…However, in the past 5 years there have been numerous successful reports on the use of BAS (Table 1). Carbone et al [31] compared their results using two different techniques for transvaginal BAS placement. Group A had the procedure performed via a "mini-invasive" technique (similar to that described by Vasavada et al [30]), and Group B had the sling placed via a "transcolpotomy" technique (similar to that described in the surgical technique section).…”

Secondary Transobturator Tape Procedure after Combined Pelvic Organ Prolapse Repair

“…The patient was diagnosed with high‐grade intrinsic sphincter deficiency (Fig. 1) and was treated by bone anchor surgery 5 . After surgery, the patient's incontinence improved, but 1 week later, urinary urgency occurred.…”