Early Experience of the Transvaginal Burch Bladder Neck Suspension for Female Stress Urinary Incontinence.
- Author:
Jae Weon LEE
1
;
Tong Wook KIM
;
Seok Jung YUN
;
Young Tae KIM
Author Information
1. Chungbuk National University, Cheongju, Korea.
- Publication Type:Original Article
- Keywords:
stress urinary incontinencs
- MeSH:
Cystocele;
Female*;
Follow-Up Studies;
Humans;
Ligaments;
Neck*;
Needles;
Patient Safety;
Sutures;
Urinary Bladder*;
Urinary Incontinence*
- From:Korean Journal of Urology
1997;38(3):290-294
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ever since Pereyra described needle suspension of the bladder neck as a form of surgical therapy for the treatment of stress urinary incontinence in women numerous modifications have been presented. Each of these modifications has helped to found healthy anatomical and surgical principles that ensure patient safety, decrease morbidity and improve effectiveness. We had treated 8 patients of stress urinary incontinence with or without cystocele by transvaginal Burch procedure. By fixing suspension sutures to the Cooper`s ligament we expected to achieve a static suspension independent of everyday patients` activities. The duration of follow up was 3 months to 6 months. Them were no serious operative complications. Incontinence was completely disappeared in 6 patients (75%) and significantly improved in 1 patient (12.5%), and failed in 1 patients (12.5%). Although the small number of patients and limited follow up, we believe that fixation of suspension sutures to the Cooper`s ligament can favorably influence long-term results of treatment for female stress urinary incontinence.
