| Modified pubovaginal sling for treatment of intrinsic sphincteric deficiency. | |
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MedLine Citation:
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PMID: 8965334 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: We report on 63 women undergoing modified pubovaginal fiscal sling construction for treatment of intrinsic sphincteric deficiency. We specifically evaluated duration of postoperative urinary retention, persistence of urinary incontinence and incidence of detrusor instability. MATERIALS AND METHODS: Preoperative questionnaires, fluoro-urodynamic studies, hospital and clinical records, and postoperative questionnaires were reviewed to assess comparative outcome among the patients. Failed procedures were studied with fluoro-urodynamics. Patient follow up ranged from 3 to 27 months (mean 11.7). RESULTS: Of the 63 patients 2 (3.2%) remained in long-term urinary retention, 4 (6.3%) had persistent stress incontinence and 3 (4.8%) had long-term detrusor instability. Two patients (3.2%) required reoperation for relief of persistent urinary retention (1) and for repair of anteriorly disrupted suspensory sutures (1). Review of preoperative fluoro-urodynamic studies did not provide insight into patients who would experience the aforementioned outcomes. CONCLUSIONS: Our study confirmed the success of the modified pubovaginal fascial sling for treatment of intrinsic sphincteric deficiency. We were unable to obtain useful preoperative information from fluoro-urodynamic studies to predict which patients would experience failure to return to normal voiding. |
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Authors:
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R C Mason; M Roach |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: The Journal of urology Volume: 156 ISSN: 0022-5347 ISO Abbreviation: J. Urol. Publication Date: 1996 Dec |
Date Detail:
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Created Date: 1996-12-16 Completed Date: 1996-12-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0376374 Medline TA: J Urol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1991-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Urology, Ochsner Clinic, New Orleans, Louisiana, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Female Follow-Up Studies Humans Middle Aged Patient Satisfaction Postoperative Complications / epidemiology Surgical Procedures, Operative / methods Urinary Incontinence / surgery* Vagina |
| Comments/Corrections | |
Comment In:
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J Urol. 1996 Dec;156(6):1999
[PMID:
8911374
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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