Surgical Procedures for Uncomplicated (“Routine”) Female Stress Incontinence

We aimed to evaluate the efficacy and the short- and long-term results of the modified four corner bladder neck suspension (FCBNS) procedure in the correction of type 2 stress urinary incontinence with moderate cystocele. We studied retrospectively 26 consecutive patients who underwent modified FCBNS procedure during a 2-year period at our institution. The modifications that were made were the distal sutures starting from the midurethra as a coil fashion of three centimetres to the bladder neck and its fixation to the pubic bone. Preoperative questionnaires, hospital and clinical records, and postoperative questionnaires were reviewed to assess comparative outcome among the patients. Patient follow-up ranged from 22 to 47 months (mean 33.5). The mean age at the time of surgery was 55.3 +/- 11.6, and mean parity was 3.2 +/- 1.3. Twenty-five of 26 women (96%) were cured after six months and 24 of 26 (92%) were cured after twenty-one months. Cystoceles were completely reduced. Complications occurred in 15% of the patients. The modified FCBNS is a useful and effective operation in treating anatomical stress urinary incontinence and an associated moderate cystocele since it elevates and supports midurethra as well in selected patients and it is associated with a low incidence of postoperative complications.

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Modified four corner bladder neck suspension in anatomical stress incontinence with moderate cystocele

Atahan

Kayıgίl

Metin

1998

International Urology and Nephrology

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Perineal ultrasonography in postoperative assessment of two different surgical procedures for stress urinary incontinence

Demirci

Kuyumcuoğlu

Kekovalı

et al. 1995

International Urology and Nephrology

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Thirty-eight incontinent and 57 continent patients who had undergone MMK urethropexy and anterior colporrhaphy procedures were examined by perineal ultrasonography. Bladder neck hypermobility was described with ventrodorsal and cephalocaudal directional parameters. In the incontinent patients both cephalocaudal and ventrodorsal mobilities were found to be significantly greater compared to the continent group, the latter ultrasonographic parameter being relatively more significant (P < 0.01 and P < 0.001, respectively). In surgically cured patients who underwent the MMK procedure both ventrodorsal and cephalocaudal mobility had been significantly limited in contrast to their incontinent counterparts; but these differences had been detected only in ventrodorsal mobility by the anterior colporrhaphy procedure.

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Burch colposuspension versus modified Marshall-Marchetti-Krantz urethropexy for primary genuine stress urinary incontinence: A prospective, randomized clinical trial

Colombo

Scalambrino

Maggioni

et al. 1994

American Journal of Obstetrics and Gynecology

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Surgical Procedures for Uncomplicated (“Routine”) Female Stress Incontinence

Cited by 19 publications

References 23 publications

Modified four corner bladder neck suspension in anatomical stress incontinence with moderate cystocele

Modified four corner bladder neck suspension in anatomical stress incontinence with moderate cystocele

Perineal ultrasonography in postoperative assessment of two different surgical procedures for stress urinary incontinence

Burch colposuspension versus modified Marshall-Marchetti-Krantz urethropexy for primary genuine stress urinary incontinence: A prospective, randomized clinical trial

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