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Modified retropubic cystourethropexy. II
1Methodist Hospital of Southern California, Arcadia.
American Journal of Obstetrics and Gynecology
|June 11, 1992
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.
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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