Unsuccessful Burch retropubic urethropexy: A case‐controlled urodynamic study

Lw, Bowen; Pk, Sand; Ostergard,; Ce, Franti

doi:10.1016/0020-7292(89)90386-x

Cited by 13 publications

(16 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…and Marshall-Marchetti-Krantz (Behr et al 1986)and Stamey procedures (Hilton 1989) have lower pre-operative MUCP and FUL than those treated successfully. Bowen et al (1989), in a case controlled study of patients undergoing colposuspension, found that unsuccessful outcome was four times more common in patients with a pre-operative MUCP less than 20 cmH20. Although in our study patients whose treatment was unsuccessful had slightly lower resting MUCP pre-operativcly, we were unable to idcntify any critical value for this variable which determined success or failure.…”

Section: Discussionmentioning

confidence: 98%

The Stamey endoscopic bladder neck suspension: a clinical and urodynamic investigation, including actuarial follow‐up over four years

Hilton

Mayne

1991

BJOG

View full text Add to dashboard Cite

Objective— To assess a modified Stamey endoscopic bladder neck suspension as a management for genuine stress incontinence in women unsuitable for colposuspension because of vaginal narrowing or inefficient voiding. Design— Uncontrolled observational study. Setting— Regional university gynaecological urology unit. Subjects— A hundred women, median age 58 years, with genuine stress incontinence confirmed by urodynamic investigation; 65 had had previous surgery for the same problem. Treatment— A Stamey procedure with monofilament nylon and short buffers of silastic tubing at each anchor site. Main outcome measures— Urodynamic reassessment 3 months after surgery and clinical follow‐up for up to 4 years, using life table methods. The median follow‐up was 27 months. Results— At 3 months the objective cure rate was 83%. Subjectively the cure rates at 4 years were 53% in patients under 65 years of age and 76% in those who were older. Overall mean bladder capacity decreased from 506 to 458 ml after surgery (P<0.05) and, in those who were cured, mean peak flow rate fell from 25.5 to 19.6 ml/s (P<0.05). The urethral functional length and the pressure transmission in the proximal three quarters were increased by successful surgery (P<0.01) but the resting urethral profile, voiding pressure and the frequency of detrusor instability were unchanged. Conclusions— This modification of the Stamey operation has an important role in the management of elderly patients those with previous unsuccessful operations, and those with inefficient voiding pre‐operatively.

show abstract

Section: Discussionmentioning

confidence: 98%

The Stamey endoscopic bladder neck suspension: a clinical and urodynamic investigation, including actuarial follow‐up over four years

Hilton

Mayne

1991

BJOG

View full text Add to dashboard Cite

show abstract

“…Genuine stress incontinence was defined as demonstrable involuntary urine loss from the urethra concurrent with any provocative manoeuvre during multichannel urodynamic tests in the absence of DI [14]. DI is defined as a condition in which the detrusor is shown objectively to contract, either spontaneously or on provocation, during bladder filling, whilst the subject is attempting to inhibit micturition [15].…”

Section: Methodsmentioning

confidence: 99%

The correlation between preoperative voiding mechanism and surgical outcome of the tension‐free vaginal tape procedure, with reference to quality of life

Wang

Chen

2003

BJU International

View full text Add to dashboard Cite

RESULTSThe change in free maximum urinary flow rate (Q max ) after surgery differed significantly between the groups ( P = 0.001). Moreover, both before and after surgery, the free Q max was significantly lower ( P = 0.019 and 0.001, respectively), and the detrusor pressure at Q max (both P < 0.001) and urethral resistance ( P = 0.036 and 0.027, respectively) significantly higher in the group with DV. The subjective outcome measure showed that the cure rates were not significantly different in the two groups ( P = 0.173), but the objective outcome measure showed a significant difference ( P = 0.025). Analysis of the total scores for all domains showed that significantly more women improved by >25% in the group without than in those with DV ( P = 0.016). CONCLUSIONSThe objective cure rate of the group without DV undergoing the TVT procedure was significantly higher than in those with DV. In addition, subjective measures assessed by the disease-specific quality-of-life questionnaire indicated that the group without DV had a better quality of life than those with DV.

show abstract

“…Of the therapeutic aspects, predicting persistent stress incontinence is clinically the most important. Success rates of colposuspension, pubovaginal sling and periurethral injection correlate negatively with MUCP [50,51, 68,69] or ALPP [49]. However, later investigations showed that a low MUCP was not an efficient predictor of surgical failure [3,48,61].…”

Section: Intrinsic Sphincter Deficiency and Persistent Stress Incontimentioning

confidence: 99%

“…However, later investigations showed that a low MUCP was not an efficient predictor of surgical failure [3,48,61]. Responsiveness to the treatment, or pressure increase caused by the treatment, was not well documented for MUCP after colposuspension [50,54, [68][69][70][71][72][73][74], although recent reports indicate a significant increase in MUCP after sling surgery [75,76]. The studies examining the change in ALPP after surgery are few; after microballoon implantation for incontinence ALPP significantly improved from 38.5 to 80.5 cmH 2 O (mean values) in cured patients, but MUCP did not (from 27.1 to 39.9 cmH 2 O) [77].…”

Section: Intrinsic Sphincter Deficiency and Persistent Stress Incontimentioning

confidence: 99%

The clinical significance of the urodynamic investigation in incontinence

Homma

2002

BJU International

View full text Add to dashboard Cite

Unsuccessful Burch retropubic urethropexy: A case‐controlled urodynamic study

Cited by 13 publications

References 0 publications

The Stamey endoscopic bladder neck suspension: a clinical and urodynamic investigation, including actuarial follow‐up over four years

The Stamey endoscopic bladder neck suspension: a clinical and urodynamic investigation, including actuarial follow‐up over four years

The correlation between preoperative voiding mechanism and surgical outcome of the tension‐free vaginal tape procedure, with reference to quality of life

The clinical significance of the urodynamic investigation in incontinence

Contact Info

Product

Resources

About