The endoscopic fascial sling for treatment of female urinary stress incontinence.

Abstract

We describe a new technique, the endoscopic fascial sling, for the treatment of female urinary stress incontinence. A total of 22 women 25 to 84 years old with urinary stress incontinence underwent this procedure. There were no urethral erosions or wound infections using the fascial strip. Of the women 16 (73%) are cured of incontinence and 4 (18%) are improved (use pads less frequently than preoperatively), and the procedure failed in 2 (9%). The endoscopic fascial sling offers a new alternative for the treatment of female stress incontinence, combining the reliability of sling procedures and the decreased morbidity of needle suspension techniques.