Correction of recurrent stress urinary incontinence by needle urethropexy with a vaginal wall sling

Abstract

OBJECTIVE: To review the results of a modification of the transvaginal needle urethropexy as a treatment for patients developing recurrence after surgical correction of stress urinary incontinence (SUI). SUBJECTS AND METHODS: Twelve women who had undergone previous surgery for SUI and had developed recurrence of the symptoms were treated by a needle urethropexy technique which employed an island of in situ vaginal skin as a sling to support the bladder neck and urethra. RESULTS: After a mean follow-up of 17.3 months, eight of the patients obtained excellent results, three experienced improvement and one was a failure. CONCLUSIONS: The vaginal wall sling needle urethropexy was a simple technique to perform and carries a low morbidity. The results are similar to those of the more elaborate traditional sling procedures reported in the literature.