PubMed · 1990 · 29 citations · 0 references
MedicineSurgeryUrologyFemale UrologyUrodynamicsUrologic SurgeryBladder SurgeryMinimally Invasive Pelvic Floor SurgeryPelvic Organ ProlapseUrethral LengtheningUrinary IncontinenceUrinary Tract SurgeryAbdominal Pressure TransmissionFemale UrethraMaximum Urethral Closure PressureStress Urinary Incontinence RepairStress Urinary Incontinence SurgeryUrethral Length MeasurementUrethral Pressure Transmission
Ten patients with either recurrent or severe stress urinary incontinence were treated with a new procedure, using a patch of fascia lata to support the bladder base and the urethra. Nine of the ten patients are objectively continent of urine 1-2 years postoperatively. When pre- and postoperative urodynamics were compared, we noted significant increases in urethral closure pressure, functional urethral length, and abdominal pressure transmission to the proximal urethra. Intraoperative and postoperative morbidity was minimal. The procedure is easily performed and requires no more expertise than does a transvaginal needle bladder neck suspension.