Endoskopie 2011; 20(2): 66-69

Miniinvasive sling surgical techniques in stress incontinence treatment

MUDr.Martina Poršová¹, MUDr.Jaroslav Porš², MUDr.Ivan Kolombo, FEBU³

¹ Urologické oddělení, Oblastní nemocnice Mladá Boleslav

² Urologická ambulance a chirurgické oddělení, Panochova nemocnice Turnov

³ Centrum pro robotickou chirurgii a urologii, Nemocnice Na Homolce, Praha

Clinically significant stress incontinence affects 20 % of women aged around 45 years. In its treatment we can use pelvic floor exercise,

that is the first choice in conservative treatment of stress incontinence. The other posibilities include electrostimulation, pesarotherapy or

paraurethral injection of the bulking agents. This article describes miniinvasive operations that have slowly replaced the classic operations

in the treatment of the stress urinary incontinence. Stress incontinence is clinically significant complication of the radical prostatectomy

and less often of the endoscopic or open procedure of prostate for benign hyperplasie. The number of spinal cord injuries followed by

neurogenic bladder increases as well (1). The possibilities of the treatment of stress urinary incontinence in men include rehabilitation

of pelvic floor, prostheses, paraurethral injections, slings or atrteficial sfincter of urethra (2).

Keywords: incontinence, tension free vaginal tape, transobturatory technics, minislings, ARGUS male sling

Published: September 1, 2011  Show citation