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Related Experiment Videos

Modified retropubic cystourethropexy. II.

J A Goodno1, T W Powers

  • 1Methodist Hospital of Southern California, Arcadia.

American Journal of Obstetrics and Gynecology
|June 11, 1992
PubMed
Summary

This study reports on a bladder-neck suspension modification for urinary stress incontinence. The procedure demonstrated a 98% adjusted success rate in long-term follow-up, offering effective treatment for genuine stress incontinence.

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Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • Urinary stress incontinence significantly impacts quality of life.
  • Bladder-neck suspension is a surgical option for stress incontinence.

Purpose of the Study:

  • To present long-term follow-up data for a modified bladder-neck suspension procedure.
  • To evaluate the efficacy of this surgical modification in treating urinary stress incontinence.

Main Methods:

  • A cohort of 135 patients underwent the modified bladder-neck suspension procedure between 1982 and 1989.
  • Long-term follow-up was conducted on 118 of these patients.

Main Results:

  • 91.5% of patients (108/118) reported no urinary leakage.
  • An adjusted success rate of 98% was achieved for genuine stress incontinence.
  • Two patients with persistent stress incontinence were successfully reoperated on.

Conclusions:

  • The modified bladder-neck suspension is a highly effective long-term treatment for genuine urinary stress incontinence.
  • The procedure shows excellent outcomes and a low reoperation rate.

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