[A new surgical aid--the "endo-stitch disposable suture device"--for pelviscopic pre-peritoneal Burch incontinence operation. A pilot study].

OBJECTIVE

It is the therapeutical aim of urogynecology to correct urinary incontinence. Which advantages offers the use of the Endo-Stitch needle in Burch's pelviscopic colposuspension?

METHODS

When extending the field of pelviscopic surgery, in a prospective study we performed Burch's pelviscopic preperitoneal colposuspension using the disposable Endo-Stitch suture instrument in 12 patients with stress incontinence grades 2 or 3. Clinical and urodynamic evaluations were performed before and 8.5 months after the pelviscopic operation.

RESULTS

Clinical and urodynamic follow-up examinations revealed continence in 10 (83%) out of 12 patients.

CONCLUSIONS

Our preliminary experience suggests that the pelviscopic incontinence operation by means of the Endo-Stitch needle is a good alternative to abdominal colposuspension. Follow-up results of a large number of patients will have to prove advantages in contrast to conservative surgery.