CESA/VASA: Treatment of Idiopathic Urgency Urinary Incontinence by Laparoscopic Approach CESA/VASA: Tratamento da Incontinência Urinária de Urgência Idiopática por Via Laparoscópica

Abstract

CESA/VASA is a new technique whose main objective is the curative treatment of urgency urinary incontinence, a pathology known as idiopathic overactive bladder. The technique consists of an abdominal surgical approach (open or laparoscopic) with the application of a tape (CESA/VASA) that attaches to the uterine cervix or the vaginal dome, being inserted in the place where the uterosacral ligaments existed (ligamentoplasty), and fixed to the sacred bone.
This makes the bladder return to its normal anatomical position thanks to the tension and support developed by the applied tape. This case reports a woman, 72-year-old, with complaints of mixed urinary incontinence. She took several types of medication (anti-muscarinic and mirabegron) without major improvements. She underwent an urodynamic study that confirmed the presence of stress incontinence and overactive bladder.
She was submitted to the placement of the CESA tape by Laparoscopic + TOT by transvaginal approach.
Surgery and post-operative without complications. Four weeks after surgery, the patient was re-evaluated, and she affirmed to be asymptomatic.