Document Detail

Colposuspension or sling for low urethral pressure stress incontinence?
MedLine Citation:
PMID:  10614975     Owner:  NLM     Status:  MEDLINE    
The aim of this study was to compare Burch colposuspension with the pubovaginal sling in the management of low urethral pressure urinary stress incontinence. Forty-five women with low urethral pressure stress incontinence were retrospectively reviewed: 21 underwent colposuspension and 24 a pubovaginal sling. The subjective success rate of the Burch colposuspension and the pubovaginal sling was 90% and 71% (P = 0.12), respectively; the objective success rate was 67% and 50% (P = 0.26), respectively. The incidence of postoperative complications, including de novo detrusor instability and symptomatic voiding dysfunction following the colposuspension, was 5% compared to 25% following the pubovaginal sling (P = 0.06). Colposuspension should be considered in the management of women undergoing surgical correction of low urethral pressure stress incontinence. In a clinically similar group of women, the Burch colposuspension had a superior subjective and objective success rate with a lower incidence of complications than did the pubovaginal sling. Although these differences failed to reach statistical significance, colposuspension can be safely considered in the management of women with low urethral pressure GSI.
C F Maher; P L Dwyer; M P Carey; P A Moran
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  International urogynecology journal and pelvic floor dysfunction     Volume:  10     ISSN:  -     ISO Abbreviation:  Int Urogynecol J Pelvic Floor Dysfunct     Publication Date:  1999  
Date Detail:
Created Date:  2000-01-19     Completed Date:  2000-01-19     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  9514583     Medline TA:  Int Urogynecol J Pelvic Floor Dysfunct     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  384-9     Citation Subset:  IM    
Royal Women's and Mercy Hospital for Women, Melbourne, Australia.
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MeSH Terms
Middle Aged
Postoperative Complications
Retrospective Studies
Suture Techniques
Treatment Outcome
Urethra / physiopathology
Urinary Incontinence, Stress / physiopathology,  surgery*
Urologic Surgical Procedures / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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