Periurethral Injection of Self-Detachable Silicon Microballoons for Female Urinary Incontinence: Surgical Technique and Long-term Results

Author(s):  
Ricardo Miyaoka ◽  
Cássio Riccetto ◽  
Nelson R Netto Jr ◽  
Paulo Palma
2020 ◽  
Vol 9 (10) ◽  
pp. 3318
Author(s):  
Matteo Balzarro ◽  
Emanuele Rubilotta ◽  
Alessandro Antonelli

Here we describe our modified surgical technique of bilateral pubococcygeus plication (BPCP) for cystocele repair and assess its safety and long-term outcomes. This is a prospective study of 147 consecutive women who underwent BPCP for cystocele between January 2010 to January 2018. Inclusion criteria was naïve women with symptomatic cystocele ≥ POP-Q 2nd stage. Exclusion criteria: stress urinary incontinence (SUI), urgency urinary incontinence, other associated vaginal wall prolapses ≥ stage 2, neurological diseases, previous SUI surgeries, and previous radiation/surgery of the pelvic area. BPCP was performed by obtaining the medialization of the pubococcygeus muscle fibers of the right and left sides. Statistical analysis was performed. Objective cure was POP-Q < 2nd stage. Subjective cure and functional outcomes were evaluated by validated questionnaires. Patient’s satisfaction was assessed by a Likert-type scale. Mean operative time was 64 min. At a mean follow-up of 82.4 months, objective and subjective success rates were 89.8% and 92.2% respectively. De novo urgency was 3.2%. Surgery did not alter sexual function. Complications occurred in 4.8%, and were: wrong dissection plane, hematoma, and pain lasting between 24–72 h. BPCP for correction of cystocele is safe and effective, with limited risk of complication and good long-term results.


2007 ◽  
Vol 14 (6) ◽  
pp. 521-526 ◽  
Author(s):  
Xavier Deffieux ◽  
Anne Claire Donnadieu ◽  
Raphaël Porcher ◽  
Amelie Gervaise ◽  
Rene Frydman ◽  
...  

2002 ◽  
Vol 13 (2) ◽  
pp. 88-95 ◽  
Author(s):  
L. T. Sirls ◽  
J. E. Foote ◽  
J. M. Kaufman ◽  
D. J. Lightner ◽  
J. L. Miller ◽  
...  

2018 ◽  
Vol 52 (4) ◽  
pp. 210-216 ◽  
Author(s):  
Ömer Özkan ◽  
Özlenen Özkan ◽  
Anı Çinpolat ◽  
Nasuh Utku Doğan ◽  
Gamze Bektaş ◽  
...  

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