Modified Pereyra bladder neck suspension in patients with intrinsic sphincter deficiency and bladder neck hypermobility: patient satisfaction with a mean follow-up of 4 years

Masson, Douglas; Govier, Fred E.

doi:10.1016/s0090-4295(99)00528-2

Cited by 8 publications

(2 citation statements)

References 18 publications

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“…The Raz and other needle suspensions fell out of use in the last decade by the majority of practicing urologists. Papers were published showing decreased benefits over time of the Raz procedure [14][15][16]. The 1997 AUA Guidelines (Leach et al) [17] showed a lower cure dry rate at 48 months with transvaginal needle suspensions (67%) compared with retropubic suspensions(84%) or pubo-vaginal autologous slings (83%).…”

Section: Discussionmentioning

confidence: 99%

The Raz Bladder Suspensions: Treatment of Stress Urinary Incontinence: 10 Years Personal Experience

Agatstein

Raz²

2014

TOUNJ

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Introduction: We report on one surgeon's clinical experience with the 2 and 4 corner Raz bladder suspension performed for the treatment of stress urinary incontinence (alone or associated with cystocoele repair) in a consecutive patient cohort between 2003 and 2012 reporting short and longer term results. Materials and Methods:We performed a retrospective study of consecutive patients who underwent a 2 or 4 corner Raz bladder suspension by one surgeon (EHA ) to treat stress urinary incontinence over a period of time from Jan 1 2003 -Sept 2012. 3 month and longer term outcomes was determined by patient self assessment including validated questionnaires.Results: 98.7% of 82 patients reported no stress incontinence at 3 months Longer term follow-up was available on 48 (65%) patients. Of those lost to follow up, 8 were deceased. Mean age was 66.1 years. Mean follow up was 48.2 months (range 4-111months). 21 of the 48 (44%)patients were beyond 48 months. 41 of 48 (85%) patients were either delighted, pleased or mostly satisfied. 42 of 48 patients (87.5 %) had 50 % or more improvement. Pad use of 2.6 decreased to 0.9 pads with P value less than 0.0001. Conclusion:The Raz bladder suspension has good short and longer term results in relieving stress incontinence in addition to low morbidity and lower costs without the use of any mesh product.

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Section: Discussionmentioning

confidence: 99%

The Raz Bladder Suspensions: Treatment of Stress Urinary Incontinence: 10 Years Personal Experience

Agatstein

Raz²

2014

TOUNJ

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“…Bladder neck suspension has been accepted universally as effective for female patients with genuine stress incontinence [6,7].…”

Section: Discussionmentioning

confidence: 99%

Study of Efferent Tube Suspension as a Continent Diversion Mechanism

Xu¹,

Ye²,

Sa³

et al. 2002

Urol Int

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Purpose: To construct a reliable continent tube, which is easy to catheterize and surgically simple. Materials and Methods: 8 adult female mongrel dogs underwent a procedure in which an ileal segment was tapered as an efferent tube. The tapered ileum was fixed to the back surface of the rectus muscle with a polyester taper 1.5 cm in width and a suspension tension of 400 g. The internal orifice of the tapered ileum was anastomosed to the bladder and the external orifice of the tapered ileum was brought out to the abdominal skin. Urodynamic and radiological studies were carried out postoperatively in all dogs. Results: All stomas in dogs could be easily catheterized with a 14-french catheter. Urodynamic study of the efferent tubes showed that the maximum closure pressure ranged from 117 to 157 (mean 136.75) cm water. Retrograde radiogram of the efferent tubes showed perfect canalization without stenosis. Conclusion: This study suggests that the continent mechanism of the tapered ileum can be greatly enhanced by a suspension technique.

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Endoscopic Suspensions

Herschorn

Carr

Female Pelvic Medicine and Reconstructive Pelvic Surgery

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Modified Pereyra bladder neck suspension in patients with intrinsic sphincter deficiency and bladder neck hypermobility: patient satisfaction with a mean follow-up of 4 years

Cited by 8 publications

References 18 publications

The Raz Bladder Suspensions: Treatment of Stress Urinary Incontinence: 10 Years Personal Experience

The Raz Bladder Suspensions: Treatment of Stress Urinary Incontinence: 10 Years Personal Experience

Study of Efferent Tube Suspension as a Continent Diversion Mechanism

Endoscopic Suspensions

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