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Endoscopic Suspensions

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Female Pelvic Medicine and Reconstructive Pelvic Surgery

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Abstract

The first reports of surgical management of stress incontinence from the early part of the twentieth century recommended a vaginal approach with plication of the periurethral tissue to narrow the urethral lumen and elevate the bladder neck [1]. By the 1940s, concepts regarding etiology changed and procedures to address lateral support defects were published. Retropubic suspensions [2] or slings [3] followed in an attempt to improve efficacy and durability. To achieve elevation as in the retropubic suspension with reduced morbidity Pereyra introduced the vaginal needle suspension in 1959 [4]. There have been many subsequent modifications with regard to the extent of dissection, location of sutures, method of fixation, and types of ligature carrier. The most widely adopted procedures, the modified Pereyra [5], Stamey [6], Raz [7], and Gittes [8] procedures, will be discussed below.

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References

  1. Kelly HA, Dumm WM. Urinary incontinence in women without manifest injury to the bladder. Surg Gynecol Obstet 1914;8:444–50.

    Google Scholar 

  2. Marshall VF, Marchetti AA, Krantz KE. The correction of stress incontinence by simple vesicourethral suspension. Surg Gynecol Obstet 1949;88:509–18.

    PubMed  CAS  Google Scholar 

  3. Aldridge AH. Transplantation of fascia for relief of urinary stress incontinence. Am J Obstet Gynecol 1942;44:398–411.

    Google Scholar 

  4. Pereyra AJ. A simplified surgical procedure for the correction of stress incontinence in women. West J Surg Obstet Gynecol 1959;67:223–6.

    PubMed  CAS  Google Scholar 

  5. Pereyra AJ, Lebherz TB. Combined urethrovesical suspension and vaginourethroplasty for correction of urinary stress incontinence. Obstet Gynecol 1967;30:537–46.

    PubMed  CAS  Google Scholar 

  6. Stamey TA. Endoscopic suspension of the vesical neck for urinary incontinence. Surg Gynecol Obstet 1973;136:547–54.

    PubMed  CAS  Google Scholar 

  7. Raz S. Modified bladder neck suspension for female stress incontinence. Urology 1981;17:82–5.

    Article  PubMed  CAS  Google Scholar 

  8. Gittes RF, Loughlin KR. No-incision pubovaginal suspension for stress incontinence. J Urol 1987;138:568–70.

    PubMed  CAS  Google Scholar 

  9. Elkabir JJ, Mee AD. Long-term evaluation of the Gittes procedure for urinary stress incontinence. J Urol 1998;159:1203–5.

    Article  PubMed  CAS  Google Scholar 

  10. Kondo A, Kato K, Gotoh M, Narushima M, Saito M. The Stamey and Gittes procedures: Long-term followup in relation to incontinence types and patient age. J Urol 1998;160:756–8.

    Article  PubMed  CAS  Google Scholar 

  11. Masson DB, Govier FE. Modified Pereyra bladder neck suspension in patients with intrinsic sphincter deficiency and bladder neck hypermobility: Patient satisfaction with a mean follow-up of 4 years. Urology 2000;55:217–22.

    Article  PubMed  CAS  Google Scholar 

  12. Leach GE, Dmochowski RR, Appell RA, Blaivas JG, Hadley HR, Luber KM, Mostwin JL, O’Donnell PD, Roehrborn CG. Female stress urinary incontinence clinical guidelines panel summary report on surgical management of female stress urinary incontinence. J Urol 1997;158:875–80.

    Article  PubMed  CAS  Google Scholar 

  13. Ulmsten U, Falconer C, Johnson P, Jomaa M, Lanner L, Nilsson CG, Olsson I. A multicenter study of tension-free vaginal tape (TVT) for surgical treatment of stress urinary incontinence. Int Urogynecol J 1998;9:210–13.

    Article  CAS  Google Scholar 

  14. Stamey TA. Endoscopic suspension of the vesical neck for urinary incontinence in females. Ann Surg 1980;192:465–71.

    Article  PubMed  CAS  Google Scholar 

  15. Hilton P, Mayne CJ. The Stamey endoscopic bladder neck suspension. A clinical and urodynamic investigation, including actuarial follow-up over four years. Br J Obstet Gynaecol 1991;91:1141–9.

    Google Scholar 

  16. Bihrle W 3d, Tarantino AF. Complications of retropubic bladder neck suspension. Urology 1990;35:213–14.

    Article  PubMed  Google Scholar 

  17. Kil PJ, Hoekstra JW, van der Meijden AP, Smans AJ, Theeuwes AG, Schreinemachers LM. Transvaginal ultrasonography and urodynamic evaluation after suspension operations: Comparison among the Gittes, Stamey and Burch suspensions. J Urol 1991;146:132–6.

    PubMed  CAS  Google Scholar 

  18. Conquy S, Zerbib M, Younes E. Retrospective comparative study of three surgical procedures in the treatment of urinary stress incontinence in women: Apropos of 119 patients treated from 1985 to 1990. J Urol (Paris) 1993;99:16–19.

    CAS  Google Scholar 

  19. Raz S, Sussman EM, Erickson DB, Bregg KJ, Nitti VW. The Raz bladder neck suspension: Results in 206 patients. J Urol 1992;148:845–50.

    PubMed  CAS  Google Scholar 

  20. Golomb J, Goldwasser B, Mashiach S. Raz bladder neck suspension in women younger than sixty-five years compared with elderly women: Three years’ experience. Urology 1994;43:40–3.

    Article  PubMed  CAS  Google Scholar 

  21. Korman IU, Sirls LT, Kirkemo AK. Success rate of modified Pereyra bladder neck suspension determined by outcomes analysis. J Urol 1994;152:1453–7.

    PubMed  CAS  Google Scholar 

  22. Trockman BA, Leach GE, Hamilton J, Sakamoto M, Santiago L, Zimmern PE. Modified Pereyra bladder neck suspension: 10-year mean followup using outcomes analysis in 125 patients. J Urol 1995;154:1841–7.

    Article  PubMed  CAS  Google Scholar 

  23. Das S. Comparative outcome analysis of laparoscopic colposuspension, abdominal colposuspension and vaginal needle suspension for female urinary incontinence. J Urol 1998; 160:368–71.

    Article  PubMed  CAS  Google Scholar 

  24. Raz S, Siegel AL, Short JL, Synder JA. Vaginal wall sling. J Urol 1989;141:43.

    PubMed  CAS  Google Scholar 

  25. Juma S, Little NA, Raz S. Vaginal wall sling: four years later. Urology 1992;39:424–8.

    Article  PubMed  CAS  Google Scholar 

  26. Couillard DR, Deckard-Janatpour KA, Stone AR. The vaginal wall sling: a compressive suspension procedure for recurrent incontinence in elderly patients. Urology 1994;43:203–8.

    Article  PubMed  CAS  Google Scholar 

  27. Raz S, Stothers L, Young GPH, Shrot J, Marks B, Chopra A, Wahle GR. Vaginal wall sling for anatomical incontinence and intrinsic sphincter dysfunction: Efficacy and outcome analysis. J Urol 1996;156:166–70.

    Article  PubMed  CAS  Google Scholar 

  28. Ulmsten U, Petros P. Intravaginal slingplasty. An ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 1995;29:75–82.

    Article  PubMed  CAS  Google Scholar 

  29. Klutke JJ, Carlin BI, Klutke CG. The tension-free vaginal tape procedure: correction of stress incontinence with minimal alteration in proximal urethral mobility. Urology 2000;55:512–14.

    Article  PubMed  CAS  Google Scholar 

  30. Lo TS, Wang AC, Horng SG, Liang CC, Soong YK. Ultrasonographic and urodynamic evaluation after tension free vagina tape procedure (TVT). Acta Obstet Gynecol Scand 2001;80:65–70.

    Article  PubMed  CAS  Google Scholar 

  31. Ulmsten U, Johnson P, Rezapour M. A three-year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence. Br J Obstet Gynaecol 1999; 106:345–50.

    PubMed  CAS  Google Scholar 

  32. Wang AC, Lo TS. Tension-free vaginal tape: A minimally invasive solution to stress urinary incontinence in women. J Reprod Med 1998;43:429–34.

    PubMed  CAS  Google Scholar 

  33. Haab F, Sananes S, Amarenco G, Ciofu C, Uzan S, Gattengno B, Thibault P. Results of the tension-free vaginal tape procedure for the treatment of type II stress urinary incontinence at a minimum followup of 1 year. J Urol 2001;165:159–62.

    Article  PubMed  CAS  Google Scholar 

  34. Azam U, Frazer MI, Kozman EL, Ward K, Hilton P, Rane A. The tension-free vaginal tape procedure in women with previous failed stress incontinence surgery. J Urol 2001;166:554–6.

    Article  PubMed  CAS  Google Scholar 

  35. Rezapour M, Ulmsten U. Tension-free vaginal tape (tvt) in women with recurrent stress urinary incontinence — a longterm follow up. Int Urogynecol J 2001;12:S9–S11.

    Article  Google Scholar 

  36. Nilsson CG, Kuuva N, Falconer C, Rezapour M, Ulmsten U. Long-term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence. Int Urogynecol J 2001;12:S5–S8.

    Article  Google Scholar 

  37. Ward K, Hilton P, Browning J. A randomized trial of colposuspension and tension free vaginal tape (TVT) for primary genuine stress incontinence. (Abstract). Neurourol Urodyn 2000;19:386–8.

    Google Scholar 

  38. Meschia M, Pifarotti P, Bernasconi F, Guercio E, Maffiolini M, Magatti F, Spreafico L. Symposium: Tension-Free Vaginal Tape: Analysis of outcomes and complications in 404 stress incontinent women. Int Urogynecol J 2001;12:S24–S27.

    Article  Google Scholar 

  39. Vierhout ME. Severe hemorrhage complicating tensionfree vaginal tape (tvt): a case report. Int Urogynecol J 2001;12:139–40.

    Article  CAS  Google Scholar 

  40. Zilbert AW, Farrell SA. Case report: External iliac artery laceration during tension-free vaginal tape procedure. Int Urogynecol J 2001;12:141–3.

    Article  CAS  Google Scholar 

  41. Brink DM. Bowel injury following insertion of tension-free vaginal tape [letter]. S African Med J 2000;90:450, 452.

    Google Scholar 

  42. Moran PA, Ward KL, Johnson D, Smirni WE, Hilton P, Bibby J. Tension-free vaginal tape for primary genuine stress incontinence: a two-centre follow-up study. BJU Int 2000;86:39–42.

    Article  PubMed  CAS  Google Scholar 

  43. Nativ O, Levine S, Madjar S, Issaq E, Moskovitz B, Beyar M. Incisionless per vaginal bone anchor cystourethropexy for the treatment of female stress incontinence: Experience with the first 50 patients. J Urol 1997;158:1742–4.

    Article  PubMed  CAS  Google Scholar 

  44. El-Toukhy TAA, Tolba MA, Davies AE. Assessment of a new bone anchor system for the treatment of female genuine stress incontinence. BJU Int 1999;84:780–4.

    Article  PubMed  CAS  Google Scholar 

  45. Rackley RR, Abdelmalak JB, Madjar S, Yanilmaz A, Appell RA, Tchetgen MB. Bone anchor infections in female pelvic reconstructive procedures: a literature review of series and case reports. J Urol 2001;165:1975–8.

    Article  PubMed  CAS  Google Scholar 

  46. Leach GE. Bone fixation technique for transvaginal needle suspension. Urology 1988;31:388–90.

    Article  PubMed  CAS  Google Scholar 

  47. Leach GE, Appell R. Percutaneous bladder neck suspension. Urol Clin North Am 1996;23:511–16.

    Article  PubMed  CAS  Google Scholar 

  48. Appell RA, Rackley RR, Dmochowski RR. Vesica percutaneous bladder neck stabilization. J Endourol 1996;10:221–5.

    Article  PubMed  CAS  Google Scholar 

  49. Schultheiss D, Hofner K, Oelke M, Grunewald V, Jonas U. Does bone anchor fixation improve the outcome of percutaneous bladder neck suspension in female stress urinary incontinence? Br J Urol 1998;82:192–5.

    PubMed  CAS  Google Scholar 

  50. Tebyani N, Patel H, Yamaguchi R, Aboseif SR. Percutaneous needle bladder neck suspension for the treatment of stress urinary incontinence in women: long term results. J Urol 2000;163:1510–12.

    Article  PubMed  CAS  Google Scholar 

  51. Bernier PA, Zimmern PE. Bone anchor removal after bladder neck suspension. Br J Urol 1998;82:302–3.

    PubMed  CAS  Google Scholar 

  52. Tamussino KF, Zivkovic F, Pieber D, Moser F, Haas J, Ralph G. Five-year results after anti-incontinence operations. Am J Obstet Gynecol 1999;181:1347–52.

    Article  PubMed  CAS  Google Scholar 

  53. Nitti VW, Raz S. Obstruction following anti-incontinence procedures: diagnosis and treatment with transvaginal urethrolysis. J Urol 1994;152:93–8.

    PubMed  CAS  Google Scholar 

  54. Carr LK, Webster GD. Voiding dysfunction following incontinence surgery: diagnosis and treatment with retropubic or vaginal urethrolysis. J Urol 1997;157:821–3.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Division of Urology, University of Toronto, Sunnybrook and Women’s College Health Science Centre, Toronto, Ontario, Canada

    Professor Sender Herschorn & Dr Lesley K. Carr

Authors
  1. Professor Sender Herschorn
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  2. Dr Lesley K. Carr
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Editors and Affiliations

  1. Urogynecology Unit, Mount Sinai Hospital, Toronto, Ontario, Canada

    H. P. Drutz BA, MD, FRC(C), FACOG, FSOGC

  2. Division of Urology, University of Toronto, Toronto, Ontario, Canada

    S. Herschorn BSc, MDCM, FRCSC

  3. Division of Gastroenterology, Department of Medicine, University of Toronto, Toronto Hospital, Toronto, Ontario, Canada

    N. E. Diamant MD, FRCP(C)

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© 2003 Springer-Verlag London Limited

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Herschorn, S., Carr, L.K. (2003). Endoscopic Suspensions. In: Drutz, H.P., Herschorn, S., Diamant, N.E. (eds) Female Pelvic Medicine and Reconstructive Pelvic Surgery. Springer, London. https://doi.org/10.1007/1-84628-238-1_31

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  • DOI: https://doi.org/10.1007/1-84628-238-1_31

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-237-9

  • Online ISBN: 978-1-84628-238-6

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