| RESEARCH ARTICLE |
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| Year : 2004 | Volume
: 20
| Issue : 2 | Page : 106-108 |
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Modified anterior vaginal wall sling for SUI
AS Sawant1, VD Trivedi1, SA Salve1, V Upadhaye2, P Dangle1
1 Department of Urology, Lokmanya Tilak Municipal Medical College and Hospital, Mumbai, India
2 Department of Gynecology and Obstetrics, Lokmanya Tilak Municipal Medical College and Hospital, Mumbai, India
Correspondence Address:
V D Trivedi
Department of Urology, Lokmanya Tilak Municipal Medical College and Hospital, Sion, Mumbai - 22
India
 Source of Support: None, Conflict of Interest: None  | Check |
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Objectives : Bladder neck suspension using autologous tissue is an established technique for SUI. We report 12 cases of anterior vaginal wall sling for patients with anatomical incontinence and modification of standard procedure by anchoring the sling to Cooper's ligament.
Methods : Twelve patients with anatomical incontinence were operated by our technique. Detailed preoperative evaluation was done and patients with only anatomical incontinence were selected, patients with intrinsic sphincter deficiency (ISD) were excluded. The surgical technique included suspension of rectangular strip of anterior vaginal wall overlying proximal urethra and bladder neck with number 1 polypropylene to Cooper's ligament.
Results : The follow-up period ranged from 6 months to 3 years and all patients were continent.
Conclusions : Cooper's ligament provides a good anchoring system and avoids the use of expensive bone anchoring systems. |
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