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Vaginal retropubic urethropexy with intraoperative cystometry for treating urinary stress incontinence
Author(s) -
Clark A.D.,
Salloum M.S.
Publication year - 2001
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1046/j.1464-410x.2001.02220.x
Subject(s) - medicine , cystometry , urinary incontinence , stress incontinence , complication , surgery , fibrous joint , urology , urinary bladder
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.