The endoscopic fascial sling for treatment of female urinary stress incontinence

Purpose: We describe a new technique, the endoscopic fascial sling, for the treatment of female urinary stress incontinence. Materials and Methods: A total of 22 women 25 to 84 years old with urinary stress incontinence underwent this procedure. Results: 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%). Conclusions: The endoscopic fascial sling offers a new alternative for the treatment of female urinary stress incontinence, combining the reliability of sling procedures and the decreased morbidity of needle suspension techniques.