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Vaginal retropubic urethropexy with intraoperative cystometry for treating urinary stress incontinence
1Department of Uro-Gynaecology, St Mary's Hospital, Portsmouth, Hampshire, UK.
Objective:
To determine the effectiveness of a vaginal retropubic urethropexy with intraoperative cystometry in treating urinary stress incontinence.
Patients And Methods:
One hundred patients with genuine stress incontinence on urodynamic examination underwent the procedure and were followed up for 1 year; 96 completed the follow-up (four were lost to follow-up).
Results:
At 1 year, 91 patients (95%) were cured of their stress incontinence and five (5%) failed, with recurrent stress incontinence developing. The complications were mainly of suture erosion (6%).
Conclusion:
This method of urethropexy has produced excellent results to date, with low complication and morbidity rates, and continues to be our treatment of choice. A randomized control trial comparing it with standard established procedures would be welcomed.