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NEOURETHRA AND SLING PUBOVAGINAL IN THE TREATMENT OF THE COMPLEX FEMALE URINARY INCONTINENCE

The urinary incontinence due to lesion uretral can be classified as functional or anatomical. In the functional the uretra is intact, even so the patient presents intrinsic sphincter deficiency (ISD). In the anatomical lesion it presents loss of the tissue uretral. Most of the time this lesion is associated to previous pelvic surgeries or consequence of neurological alterations.

 

We presented the video of a patient submitted to 5 previous attempts for correction of urinary incontinence, without success, that resulted in loss of tissue uretral (meatus hypospadiac). The clinical history revealed urinary leak to the minimum efforts and urodynamics with abdominal leak point pressure < 60cm H2O. We will demonstrate the technique of making of a neourethra, using the vaginal wall , and the sling pubovaginal concomitant. It is an exception alternative in those complex cases where there is ISD of cause functional or organic .

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