[A new approach to the transvaginal needle suspension technique after Raz. Technique and long-term results]. / Eine neue Annäherungsweise im transvaginalen Nadelsuspensionsverfahren nach Raz. Technik und langfristige Ergebnisse.
Urologe A
; 45(2): 202-8, 2006 Feb.
Article
en De
| MEDLINE
| ID: mdl-16228168
ABSTRACT
AIM:
Our aim is to describe the surgical technique and to present a long-term evaluation of the results. MATERIALS ANDMETHODS:
A total of 53 patients with stress incontinence underwent a Raz transvaginal needle suspension operation with the introduction of a polypropylene mesh strip (15x1.5-2 cm) pulled under the suspension threads. The suspension threads occur on the endopelvic fascia in order to support the bladder neck and to permit the function of the polypropylene mesh strip, which, however, does not take part in supporting the bladder neck. The same urologist carried out 53 consecutive operations with clinical evaluation at 6 months, 1 and 5 years after surgery.RESULTS:
After 6 months, 51 of the patients (96.2%) reported remaining dry after increasing intra-abdominal pressure. Two (3.7%) still had stress incontinence symptoms. After 1 and 5 years, 47 (88.6%) were dry and urinated normally, with spontaneous disappearance of nightly enuresis in two and surgery for subvesicular obstruction in one.CONCLUSIONS:
The introduction of a polypropylene mesh strip in the suspension threads in cases using the trasvaginal suspension technique has good, long-term results for the treatment of patients with stress incontinence.
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Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Urológicos
/
Incontinencia Urinaria de Esfuerzo
/
Técnicas de Sutura
/
Recuperación de la Función
/
Enuresis
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Middle aged
Idioma:
De
Revista:
Urologe A
Año:
2006
Tipo del documento:
Article