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.
|Journal||Archivos Espanoles de Urologia|
|Publication status||Published - 1 Dec 1999|
- Pubovaginal sling
- Urinary incontinence