ABSTRACT

Similarities to other techniques for urinary incontinence treatment using a subureteral sling are numerous. We will not describe the preparatory stages again in detail, but instead indicate the relevant chapters. This concerns the vaginal incision, as well as the vaginal dissection, which will be more extensive than usual in order to allow the passage of an index finger through the paravesical fossae to reach the obturator orifice. This modification is, it should be noted, prejudicial to both the reproducibility and the quality of the result, since it requires a more extensive incision and subureteral dissection. This dissection can be responsible for a secondary mobility of the vaginal strip’s subureteral portion, particularly in the direction of the uterovesical junction.