Abstract
A simple method of treating urinary stress incontinence in the female is to fix a fibrin implant vaginally to the bladder neck and upper urethra. The support provided by the new implant is maintained after its reabsorption by the fibrous tissue, which replaces it. Fortythree patients with stress incontinence were so treated. Of these, 10 had an urge incontinence component and 5 patients had previously been subjected to a bladder neck elevation procedure done vaginally. One of these 5 patients had two vaginal repairs carried out to correct stress incontinence including the insertion of a fibrin bean. One and a half years after the operation, 39 out of the 43 patients were symptom free. The 4 unsuccessful patients included one patient who had had two attempts vaginally previously to correct her stress incontinence.
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