Affiliation:
1. Dipartimento di urologia, Ospedale Maggiore, Milano
Abstract
To treat stress urinary incontinence plenty of techniques are today available. We present the results of a new, simple and cost free technique. The finger of the surgeon in the vagina checks Cooper ligament and guides the needle to pass behind it. Then it reaches the vagina where it takes a double suture. The needle rises up with the suture just above the ligament and crossing it, returns with the double suture in the vagina. With a large triple knot a tension free suspension is obtained. The success rate of 75 % was reported. The procedure basis its effectiveness on the ability of the new structure made up around the sutures by a fibrosis, to create a tension free suspension of vagina to Cooper ligament. This technique for the treatment of incontinence is reliable, simple and cheap and without controindications.