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Pubic bone anchoring in the treatment of women with stress urinary incontinence: new applications to an old concept.

Authors
  • Madjar, S
  • Beyar, M
  • Nativ, O
Type
Published Article
Journal
International urogynecology journal and pelvic floor dysfunction
Publication Date
Jan 01, 1998
Volume
9
Issue
6
Pages
416–418
Identifiers
PMID: 9891965
Source
Medline
License
Unknown

Abstract

The concept of using the pubic bone as a support for the bladder neck and urethra in the treatment of women with genuine stress urinary incontinence is well established, and is applied in traditional procedures such as Marshall-Marchetti-Krantz and the Burch colposuspensions. Recently, minimally invasive techniques, including the use of laparoscopic surgery and pubic bone anchoring systems, have been introduced. These new techniques, attempt to combine the advantages of retropubic procedures while remaining minimally invasive. A search of the English literature was carried out, traditional and new procedures using the pubic bone as a support for the bladder neck and urethra are described, and their efficacy and complications are reviewed and discussed. Traditional procedures have proved to be highly effective and well tolerated, with good long-term outcomes. The early results of innovative minimally invasive techniques are promising, but further experience and longer follow-up is needed to establish their role in the treatment of female stress urinary incontinence.

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