Commentary: Open and Laparoscopic Colposuspension in Girls With Refractory Urinary Incontinence
| Autor: | Barbara Anna Dobrowolska-Glazar, Luitzen A. Groen, Anka J. Nieuwhof-Leppink, Aart J. Klijn, Tom P. V. M. de Jong, Rafal Chrzan |
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| Přispěvatelé: | Other departments |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Stress incontinence Constipation medicine.medical_treatment MEDLINE 030232 urology & nephrology laparoscopy Urinary incontinence Pediatrics 03 medical and health sciences 0302 clinical medicine Refractory children colposuspension Lower urinary tract symptoms medicine bladder neck insufficiency Antibiotic prophylaxis Laparoscopy Original Research 030219 obstetrics & reproductive medicine urinary incontinence medicine.diagnostic_test Burch procedure General Commentary business.industry General surgery lcsh:RJ1-570 lcsh:Pediatrics medicine.disease laparoscopic surgery Surgery Neck of urinary bladder adolescent Pediatrics Perinatology and Child Health medicine.symptom Laparoscopic colposuspension business |
| Zdroj: | Frontiers in Pediatrics, Vol 5 (2017) Frontiers in Pediatrics Frontiers in Pediatrics, Vol 6 (2018) Frontiers in pediatrics, 5. Frontiers Media S.A. Frontiers in Pediatrics, 5, 284. Frontiers Media S. A. |
| ISSN: | 2296-2360 |
| Popis: | Introduction: Lower urinary tract symptoms (LUTS) are very common in children. Standard treatments consist of urotherapy, antibiotic prophylaxis, anti-muscarinics, physical therapy, and the treatment of coexisting constipation. A small group of girls also present with stress incontinence or with stress-induced urge incontinence. In cases of persistent LUTS due to congenital bladder neck insufficiency (BNI), surgical treatment might be considered. The aim of this paper is to assess the results of open and laparoscopic colposuspension in children with refractory urinary incontinence (UI). Materials and methods: The results of 18 open and 18 laparoscopic consecutive colposuspensions were analyzed. All patients had urinary incontinence (UI) and failed conservative treatment. BNI was proven by repeated perineal ultrasound and video-urodynamic study. The laparoscopic procedure was performed preperitoneally and the open procedure was via a transverse lower abdominal incision. The same postoperative protocol was used in both groups. Results: The mean operation time was 65 min for the open and 90 min for the lap procedure (p |
| Databáze: | OpenAIRE |
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