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Year : 2004  |  Volume : 20  |  Issue : 2  |  Page : 106-108

Modified anterior vaginal wall sling for SUI

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
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Source of Support: None, Conflict of Interest: None

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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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