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Dr. Dary Samimi, M.D., F.A.C.O.G. Pioneer of Techniques in Nerve Sparing Gynecologic Urogynecologic Surgery |
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Dr. Samimi Daryoosh Samimi, M.D., F.A.C.O.G. Director of US Women Institute P.O. Box 9870 Fountain Valley, Ca. 92728-9870 Phone: 1-888-4Female (888-433-6859) Fax 1-714-754-4401 |
Outpatient Burch-Sling Procedure - A Nerve Sparing Method for Correction of Female Urinary Incontinence (Abstract) by DARY SAMIMI, M.D., ET., AL.
BACKGROUND:
This is a report of a new technique and experience performing Outpatient Burch-Sling with No Laparotomy or Laparoscopy as a Nerve Sparing Technique.
The purpose of this operation is to describe the surgical approach to genuine stress urinary incontinence, which hopefully will prevent injuries to somatic nerve fibers:
- External urethral sphincter nerve
- Dorsal nerve of clitoris
- Posterior nerve of labia majora
- Posterior nerve of labia minora, plus
- Vaginal nerves from autononilc nerve division
TECHNIQUE
The procedure is a retropubic bladder neck suspension using a newly invented bladder saver device. In this technique, the vagina is elevated bilaterally at the urethrovesical junction. This repositions the proximal urethra within the abdominal cavity toward Cooper’s Ligament with permanent sutures. In this method the vaginal wall is used as an endogenous suburethral sling.
EXPERIENCE
Sixty-fve cases have been performed with no major complications and only one who bad no improvement. Follow-up is from six months to eight years. This minimally invasive outpatient closed Burch-Sling Procedure, utilizing the bladder saver device, allows performance of a time-proven operation with very little morbidity.
CONCLUSION
There are many references in the medical literature relating to nerve injury due to surgery. The likelihood of damage is greater during traditional incontinence procedures because of extensive vaginal wall dissection. The unique features of our technique are:
- May be done as an outpatient.
- Absence of anterior vaginal wall dissection.
- Use of an endogenous sling for colpo-urethiopexy.
- Cooper’s Ligament is used to anchor the suspension sutures.
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| Dr. Samimi's Specialties |
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Board Certified Gynecologist Womens Health Care Physician Noted Inventor Lecturer Renown Surgeon |
| Publications |
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Burch-Sling Bloodless, Nerve Sparing Abdominal Hysterectomy Samimi's Simplified Surgical Correction of Massive Uterovaginal Prolapse |
| Lectures |
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Burch-Sling Bloodless, Nerve Sparing Abdominal Hysterectomy New Method for Breast Cancer Detection |
| Patient Education |
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Detecting and Treating Breast Problems Early Breast Cancer Detection Exercise & Fitness Hormone Therapy Revised Cervical Cancer Screening Guidelines Urinary Incontinence Your Gynecologist: Your Partner in Health Care |