Urinary stress incontinence: A comparison between transvaginal procedures

Abstract

— Transvaginal needle bladder neck suspension for stress urinary incontinence: personal experience. The Authors present their personal experience of 30 patients operated between 1988–1991 for stress urinary incontinence with transvaginal needle bladder neck suspension. 9 patients were treated with Gittes procedure, 14 with Raz and 7 with sling and minisling. Minimal post-operative complications, despite chronic urinary retentions, were observed. With a mean follow-up of 18 months (7–48) they report recurrence of incontinence respectively in 56%, 23% and 16% of the patients. With the significant rate of failure, even after repeated procedure, the Authors have drawn the conclusion that transvaginal needle-suspension should not be considered standard treatment of female S.U.I. They stress the need to carefully select patients. Females with major vaginal prolapse or significant rectocele are, from the authors' point of view, the best candidates for this kind of technique.