European journal of obstetrics, gynecology, and reproductive biology · 2003
Analysis of retropubic colpourethrosuspension results by suburethral sling with REMEEX prosthesis.
СтатьяНазвание и аннотация: Перевод в очереди
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Martínez A Martín, Ramos N Medina, Requena J F Cerezuela, Hernández J A García
Аннотация
OBJECTIVE: To describe the results after colpourethropexy with a REMEEX prosthesis in the treatment of stress urinary incontinence with associated genital prolapse.
MATERIALS AND METHODS: A prospective analysis of all patients treated in our Urogynaecology Unit between November 2000 and March 2001.
RESULTS: There were 29 patients with mean age of 62 and mean body mass index of 28. All but one patients had stress incontinence (genuine or mixed) associated with a genital prolapse. The other patient was a failed past technique (Marshall-Burch). Cystometry was performed in 80% of the patients. Of these 93% had genuine stress incontinence and 7% mixed incontinence. The average operating time was 119min (CI: 60-310), and the mean hospital stay 5 days (CI: 3-13). There was one case of severe haemorrhage during surgery, four cases of wall seroma and one postoperative urinary infection. Concerning patient satisfaction, 90% of our patients felt they were cured, 8% were much better and 2% had a slight improvement. No patient had a worsening of symptoms after surgery.
CONCLUSION: We propose colpourethropexy by suburethral sling with a REMEEX prosthesis as suitable treatment for stress incontinence with associated genital prolapse.
MATERIALS AND METHODS: A prospective analysis of all patients treated in our Urogynaecology Unit between November 2000 and March 2001.
RESULTS: There were 29 patients with mean age of 62 and mean body mass index of 28. All but one patients had stress incontinence (genuine or mixed) associated with a genital prolapse. The other patient was a failed past technique (Marshall-Burch). Cystometry was performed in 80% of the patients. Of these 93% had genuine stress incontinence and 7% mixed incontinence. The average operating time was 119min (CI: 60-310), and the mean hospital stay 5 days (CI: 3-13). There was one case of severe haemorrhage during surgery, four cases of wall seroma and one postoperative urinary infection. Concerning patient satisfaction, 90% of our patients felt they were cured, 8% were much better and 2% had a slight improvement. No patient had a worsening of symptoms after surgery.
CONCLUSION: We propose colpourethropexy by suburethral sling with a REMEEX prosthesis as suitable treatment for stress incontinence with associated genital prolapse.