Retropubic urethrocystopexy: Vaginal approach
| Autor: | Leslie C. Powell |
|---|---|
| Rok vydání: | 1981 |
| Předmět: |
Adult
Vaginal approach medicine.medical_specialty Stress incontinence Urinary Incontinence Stress Urethrocystopexy Preliminary report Periosteum Methods Humans Medicine Aged Pubic Bone Postoperative Care business.industry Suture Techniques Obstetrics and Gynecology Middle Aged medicine.disease Surgery Postoperative visit medicine.anatomical_structure Evaluation Studies as Topic Anesthesia Concomitant Improvement rate Vagina Female business |
| Zdroj: | American Journal of Obstetrics and Gynecology. 140:91-98 |
| ISSN: | 0002-9378 |
| Popis: | A modification of the classic Marshall-Marchetti-Krantz (MMK) operation which includes suspending the urethrovesical junction to the pubis by the vaginal approach is presented. This offers the advantages of a shorter operating time, the lack of an abdominal incision, and the concomitant repair of other pelvic anatomic defects through the vagina, with a cure rate at least equal to, if not better than, that associated with the abdominal route. The study group of 25 patients had less morbidity, a 1-day decrease in hospital stay, and 1 1 / 2 fewer days of catheter drainage compared to a matched control group of MMK operations done abdominally in this preliminary report. A 96% cure and improvement rate of the symptoms of stress incontinence was shown at the 6-week postoperative visit. This compares to a 92% rate in the control series of abdominal MMKs. The permanency of the procedure will have to be evaluated critically as more cases are added and sufficient time elapses to see if these good initial results hold up. |
| Databáze: | OpenAIRE |
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