engleski

The own abdominal procedure for management of genuine stress urinary incontinence in females

One hundred and five women with urodynamically proven stress unrary incontinence (SUI) undergone the own abdominal procedure with shortening and fixation of round ligaments to the prepaired vaginal wall for the bladder neck suspension. The aim of the study is to asses the efficacy, safety and potential benefit of the new operative technique for treatment of SUI. All patients had pre and postoperative clinical and urodynamic assesment with a follow up of 2 years. At 12 months there was subjective cure rate of 99% and objective cure rate of 97, 2%. The 2 year objective cure rate was 95, 5%. There was no intra and postoperative complications as well as voiding difficulties. The own abdominal procedure for management for SUI is a safe and effective technique with minimal blood loss, shortened postoperative catheterisation ( the mean time for the catheter removal was 3 days), and the duration of the hospital stay, little postoperative pain and early return to normal activities. According to its high cure rate, reccurence rate which is only 4, 5% and low associated morbidity with rapid resume of normal voiding pattern, the own abdominal procedure is valuable contribution to surgical management of genuien SUI.

female stress urinary incontinence ; abdominal surgical procedure

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