Prótesis hidráulica para regular la tensión del "sling" en el tratamiento de la incontinencia urinaria en la mujer

José María Gil-Vernet, Alfrfdo Gil-Vernet Sedó, Octavio Arango Toro, Antoni Gelabert Mas, Manuel Céspedes Pérez

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

Summary.-OBJECTIVE: To improve the results of corrective surgery for severe urinary incontinence in the female (sphincteric lesion) utilizing a new prosthesis that allows adjusting the degree of tension of the band or urethrocervical sling. METHODS: We have added the use of a subcutaneous hydraulic device to the classical pubovaginal Sling procedure. The device can be gradually filled by percutaneous punction to adjust the urethral closure pressure. RESULTS: All patients had previously undergone different procedures and had grade 111 stress urinary incontinence. With the hydraulic device, the success rate (complete continence) was 95.5% (21 '22 patients) and the complication rate was 9% (2 cases: one developed infection and the other chronic urinary retention). CONCLUSIONS: The hydraulic device described here in is easy to place, low-cost and carries a mimimum morbidity. Its use is indicated in patients who have previously undergone surgery, with a sphincteric lesion and who require precise adjustment of the urethrocervical sling. The degree of tautness can be adjusted repeatedly according to the clinical course of a patient without requiring reoperation.
Original languageEnglish
Pages (from-to)871-874
JournalArchivos Espanoles de Urologia
Volume52
Issue number8
Publication statusPublished - 1 Dec 1999

Keywords

  • Bladder
  • Prosthesis
  • Pubovaginal sling
  • Urinary incontinence
  • Urodynamics

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