Midurethral bulbocavernous muscle sling for genuine stress incontinence - an alternative to synthetic slings?
Objectives: To assess the efficacy of midurethral bulbo-cavernous muscle sling (BCMS) in the treatment of genu-ine stress incontinence in women. Methods: A prospective study comprising 25 women was carried out at the Govt. Kasturba Gandhi Hospital, Chennai. The women whose age was in the range of...
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2003-01-01
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Online Access: | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2003;volume=20;issue=1;spage=37;epage=39;aulast=Rajamaheswari |
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doaj-4c0caf8260d0467d9727374a67783e092020-11-24T22:33:24ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242003-01-012013739Midurethral bulbocavernous muscle sling for genuine stress incontinence - an alternative to synthetic slings?N RajamaheswariKarthik GunasekaranObjectives: To assess the efficacy of midurethral bulbo-cavernous muscle sling (BCMS) in the treatment of genu-ine stress incontinence in women. Methods: A prospective study comprising 25 women was carried out at the Govt. Kasturba Gandhi Hospital, Chennai. The women whose age was in the range of 30-65 years had GSI as proved by urodynamic evaluation. The bulbocavernous muscle sling implies the approximation of both the bulbocavernous muscles around the midurethra with prolene sutures. The procedure is done under regional anaesthesia. Results: These patients were followed up for 2 years. Eighteen (72%) women reported complete cure, 4 (16%) were significantly improved and in 3 the surgery failed. Conclusions: The bulbocavernous muscle sling is a promising new procedure for genuine stress incontinence. There is no need for intraoperative cystoscopy and the chances of bladder injury are nonexistent. Larger sample with long term follow up and randomized controlled trials comparing it with the other surgical techniques may prove its true efficacy.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2003;volume=20;issue=1;spage=37;epage=39;aulast=RajamaheswariBulbocavernous musclestress incontinencesling proce-dureminimally invasivemidurethra. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
N Rajamaheswari Karthik Gunasekaran |
spellingShingle |
N Rajamaheswari Karthik Gunasekaran Midurethral bulbocavernous muscle sling for genuine stress incontinence - an alternative to synthetic slings? Indian Journal of Urology Bulbocavernous muscle stress incontinence sling proce-dure minimally invasive midurethra. |
author_facet |
N Rajamaheswari Karthik Gunasekaran |
author_sort |
N Rajamaheswari |
title |
Midurethral bulbocavernous muscle sling for genuine stress incontinence - an alternative to synthetic slings? |
title_short |
Midurethral bulbocavernous muscle sling for genuine stress incontinence - an alternative to synthetic slings? |
title_full |
Midurethral bulbocavernous muscle sling for genuine stress incontinence - an alternative to synthetic slings? |
title_fullStr |
Midurethral bulbocavernous muscle sling for genuine stress incontinence - an alternative to synthetic slings? |
title_full_unstemmed |
Midurethral bulbocavernous muscle sling for genuine stress incontinence - an alternative to synthetic slings? |
title_sort |
midurethral bulbocavernous muscle sling for genuine stress incontinence - an alternative to synthetic slings? |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Urology |
issn |
0970-1591 1998-3824 |
publishDate |
2003-01-01 |
description |
Objectives: To assess the efficacy of midurethral bulbo-cavernous muscle sling (BCMS) in the treatment of genu-ine stress incontinence in women.
Methods: A prospective study comprising 25 women was carried out at the Govt. Kasturba Gandhi Hospital, Chennai. The women whose age was in the range of 30-65 years had GSI as proved by urodynamic evaluation. The bulbocavernous muscle sling implies the approximation of both the bulbocavernous muscles around the midurethra with prolene sutures. The procedure is done under regional anaesthesia.
Results: These patients were followed up for 2 years. Eighteen (72%) women reported complete cure, 4 (16%) were significantly improved and in 3 the surgery failed.
Conclusions: The bulbocavernous muscle sling is a promising new procedure for genuine stress incontinence. There is no need for intraoperative cystoscopy and the chances of bladder injury are nonexistent. Larger sample with long term follow up and randomized controlled trials comparing it with the other surgical techniques may prove its true efficacy. |
topic |
Bulbocavernous muscle stress incontinence sling proce-dure minimally invasive midurethra. |
url |
http://www.indianjurol.com/article.asp?issn=0970-1591;year=2003;volume=20;issue=1;spage=37;epage=39;aulast=Rajamaheswari |
work_keys_str_mv |
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