1464-410X/asset/olbannerleft.gif?v=1&s=3b023a287baccfcd7715cf1935101c4ef9feb906)
1464-410X/asset/olbannerright.gif?v=1&s=2aeadcb16d199baae496a2f637919008651befce)
Assessment of a new bone anchor system for the treatment of female genuine stress incontinence
Article first published online: 25 DEC 2001
DOI: 10.1046/j.1464-410x.1999.00266.x
1464-410X/asset/cover.gif?v=1&s=18dc530bb661385ebe747474fa3fa05007689de7 "BJU International")
Additional Information
How to Cite
El-Toukhy, Tolba and Davies (1999), Assessment of a new bone anchor system for the treatment of female genuine stress incontinence. BJU International, 84: 780–784. doi: 10.1046/j.1464-410x.1999.00266.x
Publication History
- Issue published online: 25 DEC 2001
- Article first published online: 25 DEC 2001
- Abstract
- Article
- References
- Cited By
Keywords:
- Genuine stress incontinence;
- surgical treatment;
- vaginal approach;
- bone anchors
Objective
To evaluate the efficacy of the In-Tac bone-anchor system (using shape-memory metal bone anchors, Influence Medical Technologies, Lancs, UK) as a vaginal procedure for the treatment of female genuine stress incontinence (GSI).
Patients and methods
Between January 1997 and April 1998, 30 patients with GSI were recruited into the study (age range 36–74 years); patients who had undergone previous failed continence surgery were not excluded. All patients underwent a urodynamic assessment before and 3 months after surgery. All In-Tac bone-anchor procedures were performed under general anaesthesia. Patients were reviewed after surgery at 6 weeks, 3, 6 and 12 months, and yearly thereafter.
Results
The mean (range) operative duration was 42 (20–75) min and the blood loss 60 (10–200) mL (median 30). There were no intraoperative complications and minimal analgesia was required postoperatively. At 6 weeks, 27 patients (90%) were subjectively cured. The urodynamic assessment at 3 months revealed that 22 patients (73%) were objectively cured; at 6 months and one year the subjective cure rate was 80%.
Conclusion
The In-Tac bone-anchor system is simple and safe, the procedure easily learned and the operation brief. It offers promise as an incision-less vaginal procedure that may have wide application for the treatment of women with GSI. A longer follow-up is needed to fully confirm its durability and effectiveness.