Endoscopic suspension of vesical neck for urinary incontinence*

Anthony J Schaeffer*, Thomas A. Stamey

*Corresponding author for this work

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Surgically curable urinary incontinence in women is achieved by restoration of the vesical neck from a dependent position in the pelvis to one high behind the symphysis pubis. Endoscopic suspension, which accomplishes this by elevating the internal vesical neck on both sides with two permanent buttressed nylon loops is effective for correcting primary or recurrent stress urinary incontinence and even total incontinence in over 90 per cent of patients. Technical advantages over retropubic vesical neck suspensions include less postoperative morbidity, functional measurements and anatomic visualization of a restored vesical neck during the procedure, easy access to the surgically difficult pelvis, and simultaneous repair of significant rectoceles or substantial cystoceles through the same operative field.

Original languageEnglish (US)
Pages (from-to)484-494
Number of pages11
JournalUrology
Volume23
Issue number5
DOIs
StatePublished - Jan 1 1984

ASJC Scopus subject areas

  • Urology

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