Transvaginal bone anchors in female stress urinary XXXX : poor results.

@entity1 @entity322 @entity73 @entity702 @entity3142
OBJECTIVE: This study evaluates the results of a minimally invasive technique for correcting female stress urinary @entity322 by transvaginal implantation of pubic bone anchors. @entity1 AND METHODS: Female stress urinary @entity322 was treated by fixing a gelatin-coated Dacron sling between two miniature @entity702 anchors with Prolene sutures. RESULTS: A total of 26 @entity1 (median age 57.2 years) underwent the sling procedure. The follow-up examination was performed after 11.4 months on average. @entity3142 showed a median improvement from grade 2 to grade 0.5 (p = 0.01), although only 16 of the 26 @entity1 were completely continent. Urethral pressure and functional length were not significantly influenced. @entity73 was seen in 14 of the 26 @entity1 (53.8%), and 13 of them underwent revision. All @entity1 affected (15/26, 57.7%) as well as 1 with uneventful healing showed sensory urge symptoms or detrusor instability (7/26, 26.9%). The correlation between @entity73 and detrusor instability was highly significant (p < 0.003). 17 of the 26 @entity1 (65.3%) were dissatisfied or very dissatisfied with the intervention. The unfavorable results did not significantly correlate with the @entity1 ' age, the number of previous operations, or the surgeon's skill. CONCLUSION: In view of the poor vaginal wound healing and the resultant irritative symptoms, transvaginal bone anchoring with fixation of a Dacron sling must be regarded as an unsuitable technique.
