Document Detail

Proposed management of low urethral pressure type of genuine stress urinary incontinence.
MedLine Citation:
PMID:  2737549     Owner:  NLM     Status:  MEDLINE    
One hundred and twenty-one patients with genuine stress urinary incontinence underwent urodynamic examination before and after Burch colposuspension. They were divided into two groups, one with preoperative urethral pressure of 20 cm water or less (n = 17), and the other with urethral pressure greater than 20 cm water (n = 104). Success rates at 12 months were significantly lower in women with low urethral pressure as compared with those with normal urethral pressure (65 vs. 88%; p less than 0.01). Starting in January 1987, all patients with low urethral pressure preoperatively underwent a surgical procedure which combined the techniques of the Ball and Burch procedures. Short-term cure rate (at 3 months postoperative follow-up) in women with low urethral pressure was 83% as opposed to 70% with the Burch urethropexy (p less than 0.05).
A Bergman; P P Koonings; C A Ballard
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Gynecologic and obstetric investigation     Volume:  27     ISSN:  0378-7346     ISO Abbreviation:  Gynecol. Obstet. Invest.     Publication Date:  1989  
Date Detail:
Created Date:  1989-08-03     Completed Date:  1989-08-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7900587     Medline TA:  Gynecol Obstet Invest     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  155-9     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Southern California, Los Angeles.
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MeSH Terms
Estrogens / administration & dosage
Follow-Up Studies
Middle Aged
Prospective Studies
Retrospective Studies
Urethral Diseases / surgery*
Urinary Incontinence, Stress / complications*,  therapy
Reg. No./Substance:

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