Document Detail


Laparoscopic bladder neck suspension fails the test of time.
MedLine Citation:
PMID:  10569574     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Initial reports on laparoscopic bladder neck suspension have suggested success rates similar to those of traditional bladder neck suspension. We compare long-term success rates of laparoscopic and transvaginal Raz bladder neck suspension. MATERIALS AND METHODS: A total of 100 patients with anatomical stress urinary incontinence underwent extraperitoneal laparoscopic bladder neck suspension with securing of the endopelvic fascia to Cooper's ligament (58, laparoscopy group) or transvaginal Raz bladder neck suspension (42, transvaginal group). Patients were evaluated by chart review and telephone questionnaire to determine whether they had urinary incontinence. RESULTS: The 2 groups were similar in terms of age, mean body mass index, preoperative bladder capacity and post-void residual. Mean followup was 45 months (range 14 to 71) in 50 laparoscopy group (86%) and 59 months (range 35 to 72) in 29 transvaginal group (70%) patients. Only 15 of 50 laparoscopy group (30%) and 10 of 29 transvaginal group (35%) patients were completely continent at followup. There was no statistically significant difference in the success rates for the 2 groups. Mean time to failure for both groups was 18 to 24 months. CONCLUSIONS: With long-term followup laparoscopic bladder neck suspension demonstrated poor success rates similar to other minimally invasive surgical therapies for stress urinary incontinence. Any new surgical technique for treatment of stress urinary incontinence should have a mean followup of more than 2 years to determine true clinical efficacy.
Authors:
E M McDougall; C A Heidorn; A J Portis; C G Klutke
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of urology     Volume:  162     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1999 Dec 
Date Detail:
Created Date:  2000-01-06     Completed Date:  2000-01-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2078-81     Citation Subset:  AIM; IM    
Affiliation:
Division of Urologic Surgery, Washington University Medical School, St. Louis, Missouri, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Follow-Up Studies
Humans
Laparoscopy*
Middle Aged
Retrospective Studies
Sutures*
Time Factors
Urinary Incontinence, Stress / surgery*

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


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