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[Ureterocervicopexy with bone anchors by the abdominal approach: medium-term results]
J Jiménez Calvo1, A Hualde Alfaro, V Grasa Lanau
1Servicio de Urología, Hospital Virgen del Camino, Pamplona, Navarra, España.
Objective:
To analyze the short- and medium-term results of the Burch-like urethropexy with bone anchors in the treatment of genuine stress urinary incontinence.
Methods:
We performed the conventional Burch technique which was modified with the use of 4 bone anchors for bony fixation. Forty-four female patients with genuine stress urinary incontinence were operated on from November, 1995 to November, 1997.
Results:
The patients had a bladder catheter indwelling for 4 to 9 days and only 3 of them required intermittent catheterization during two months. All patients recovered spontaneous micturition. The postoperative urinary continence was 93% at a mean follow-up of 11 months.
Conclusions:
Although our initial results seem encouraging, a continuous and objective follow-up is warranted to assess the long-term efficacy of this technique.