Bladder neck prop using vaginal wall island for intrinsic sphincteric deficiency in elderly patients: a new technique

Objectives. A simple new technique, using a trapezoid island of vaginal wall, is described for elderly female patients undergoing transvaginal pelvic prolapse repair and suffering from stress urinary incontinence secondary to intrinsic sphincteric deficiency. Methods. Fifteen elderly women underwent bladder neck prop in association with other pelvic prolapse surgery. The mean follow-up period was 20 months. Results. Twelve of 14 patients (85.7%) were dry. One patient was lost to follow-up. Conclusions. Bladder neck prop provided urethral and bladder neck compression and support. The major advantage of this approach is avoiding extensive dissection and/or abdominal incision in elderly female patients.