Polypropylene hernia mesh for urinary stress incontinence.

In 2001 Delorme proposed a new surgical procedure to treat urinary incontinence in females by way of a trans-obturator foramen route. In 2002 a simple Prolene hernia mesh was used instead of the original one adapting the procedure to local conditions. With this approach a broad curve needle is introduced from the skin of the groin through the pelvic insertions of the adductors and obturator externus muscles proceeding around the ischio-pubic bone branch and passing through the obturator membrane and the obturator internus muscle reaching the homolateral vaginal incision. The mesh end is tightly fixed to the needle sharp end and is pulled backwards to reach the skin opening. The same procedure is repeated on the opposite side of the body. When both ends of the tape are exteriorized the needle is removed. (excerpt)