Objective: To compare cystopexy alone versus cystopexy with posterior pubourethral ligaments plication for the occurrence of postoperative stress incontinence after prolapse surgery, and to compare the two surgical series in terms of complications and urodynamic effects.Methods: One hundred two continent patients randomly underwent cystopexy alone (N = 52) or cystopexy with posterior pubourethral ligaments plication (N = 50). All had a urethrocystocele grade 2 or greater and a negative stress test with the prolapse repositioned. A full urodynamic investigation was repeated 6 months after surgery.Results: Twelve (23%) and 14 (28%) patients (P = .73) required intermittent self-catheterization for 11.1 +/- 5.1 and 16.5 +/- 11.1 days, respectively (cystopexy alone versus cystopexy with posterior pubourethral ligaments plication, P = .002). Long-lasting difficulties in voiding were present in zero and five (10%) patients (P = .02). One subject receiving posterior pubourethral ligaments plic...

Colombo, M., Maggioni, A., Zanetta, G., Vignali, M., Milani, R. (1996). Prevention of postoperative urinary stress incontinence after surgery for genitourinary prolapse. OBSTETRICS AND GYNECOLOGY, 87(2), 266-271 [10.1016/0029-7844(95)00378-9].

Prevention of postoperative urinary stress incontinence after surgery for genitourinary prolapse

MILANI, RODOLFO
1996

Abstract

Objective: To compare cystopexy alone versus cystopexy with posterior pubourethral ligaments plication for the occurrence of postoperative stress incontinence after prolapse surgery, and to compare the two surgical series in terms of complications and urodynamic effects.Methods: One hundred two continent patients randomly underwent cystopexy alone (N = 52) or cystopexy with posterior pubourethral ligaments plication (N = 50). All had a urethrocystocele grade 2 or greater and a negative stress test with the prolapse repositioned. A full urodynamic investigation was repeated 6 months after surgery.Results: Twelve (23%) and 14 (28%) patients (P = .73) required intermittent self-catheterization for 11.1 +/- 5.1 and 16.5 +/- 11.1 days, respectively (cystopexy alone versus cystopexy with posterior pubourethral ligaments plication, P = .002). Long-lasting difficulties in voiding were present in zero and five (10%) patients (P = .02). One subject receiving posterior pubourethral ligaments plic...
Articolo in rivista - Articolo scientifico
Urinary Incontinence, Stress; Postoperative Complications; Length of Stay; Humans; Urinary Bladder Diseases; Urethral Diseases; Aged; Middle Aged; Follow-Up Studies; Surgical Procedures, Operative; Prolapse; Female
English
1996
87
2
266
271
none
Colombo, M., Maggioni, A., Zanetta, G., Vignali, M., Milani, R. (1996). Prevention of postoperative urinary stress incontinence after surgery for genitourinary prolapse. OBSTETRICS AND GYNECOLOGY, 87(2), 266-271 [10.1016/0029-7844(95)00378-9].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/35918
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