Refined suspension procedure with implement for treating female

Surgery – Body inserted urinary or colonic incontinent device or...

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128898, 604 49, A61B 1700

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active

050190326

ABSTRACT:
The incision-free pubovaginal suspension due to Gittes and Loughlin is improved by simultaneous gas obturation and visual monitoring using a suprapubic endoscope, inserted with the aid of a urethral trocar. It is further improved by simultaneous manipulation of the urethra, bladder and other tissues by the trocar, to optimize alignment for the Gittes procedures. The trocar, and procedure for its use, are refinements of the present inventor's earlier apparatuses and procedures for suprapubic cystostomy with endoscopy, and for gas obturation.

REFERENCES:
patent: 3640281 (1972-02-01), Robertson
patent: 3656486 (1986-04-01), Robertson
patent: 3709214 (1973-01-01), Robertson
patent: 4172458 (1979-10-01), Peregra
patent: 4938760 (1990-07-01), Burton et al.
Robertson, R. Jackson, "Instruments and Methods", Obstetrics and Gynecology, vol. 41, No. 4, Apr. 1973, pp. 624-627.
Gittes, Ruben F., "No-Incision Pubovaginal Suspension for Stress Incontinence", J. of Urology, vol. 138, Sep. 1987, pp. 568-570.
Stamey, Thomas A., "Endoscopic Suspension of the Vesical Neck for Urinary Incontinence", Surgery, Gynecology & Obstetrics, vol. 136, pp. 547-554, Apr. 1973.
Mason, Tate J. et al, "Suprapubic Endoscopic Evaluation of Vesical Neck Suspension Procedures", J. Urology, vol. 6, No. 2, pp. 233-234, Aug. 1975.

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