Intravaginal Slingplasty (IVS): An Ambulatory Surgical Procedure for Treatment of Female Urinary Incontinence

TLDR

The technique has been elaborated from previous experimental and clinical studies. It aims at restoring the pubourethral ligament and the suburethral vaginal hammock. The authors performed IVS on 50 patients under local anesthesia without postoperative catheterization, including 38 with stress incontinence and 12 with mixed symptoms. Thirty-nine patients (78%) were completely cured, six (12%) had significant improvement, six of 12 mixed patients experienced urge relief, and no complications were reported.

Abstract

A new ambulatory procedure for treatment of female urinary incontinence (intravaginal slingplasty, IVS) was performed on 50 patients. In all patients the surgical procedure was carried out under local anaesthesia and without postoperative urinary catheterization. The technique has been elaborated from previous experimental and clinical studies and aims at restoration of the pubourethral ligament and the suburethral vaginal hammock. Thirty-eight patients suffered from genuine stress incontinence as objectively verified and 12 patients had symptoms and signs of both urge and stress incontinence. Thirty-nine (78%) patients were completely cured from their stress incontinence symptoms. Another six patients (12%) reported a considerable improvement of their urinary incontinence leaking only occasionally. Concerning urge incontinence symptoms a significant relief of the symptoms was obtained in 6 of 12 patients. No intra- or postoperative complications occurred.