| De novo urinary stress incontinence after laparoscopic sacral colpopexy. | |
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MedLine Citation:
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PMID: 17995964 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To analyse the incidence and the risk of developing de novo stress urinary incontinence (SUI) after laparoscopic sacral colpopexy (LSCP). PATIENTS AND METHODS: In all, 53 women wit no concomitant or occult SUI before surgery had a LSCP with no anti-incontinence procedure. All their medical charts were reviewed retrospectively and analysed statistically to assess the association between clinical data before LSCP (age, body mass index, maximum urethral closure pressure, medical history of UI and prolapse surgery, bladder neck hypermobility) and de novo SUI after LSCP. RESULTS: With a mean (sd) follow up of 20.4 (9.1) months, seven patients (13%) developed de novo SUI, within a median (range) of 2.1 (1-3) months after surgery. There was no statistical association between factors before LSCP and de novo SUI afterward on a univariate analysis (P > 0.05). The 5-year SUI-free survival rate after LSCP was 86%. CONCLUSION: Despite the risk of de novo SUI remaining low after LSCP patients should always be informed before surgery, as it cannot be predicted. Moreover, it can directly affect the functional outcome and lead to a second procedure in a few cases. |
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Authors:
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Vincent Misraï; Morgan Rouprêt; Florence Cour; Emmanuel Chartier-Kastler; François Richard |
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Publication Detail:
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Type: Journal Article Date: 2007-11-08 |
Journal Detail:
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Title: BJU international Volume: 101 ISSN: 1464-410X ISO Abbreviation: BJU Int. Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-02-08 Completed Date: 2008-03-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100886721 Medline TA: BJU Int Country: England |
Other Details:
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Languages: eng Pagination: 594-7 Citation Subset: IM |
Affiliation:
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Department of Urology, Pitié-Salpétrière Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Faculté de Médecine Pierre et Marie Curie, University Paris VI, France. vincent.misrai@psl.aphp.fr |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Female Gynecologic Surgical Procedures Humans Laparoscopy / adverse effects* Middle Aged Retrospective Studies Treatment Outcome Urinary Incontinence, Stress / etiology* Uterine Prolapse / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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