Experience of the Raz procedure for stress urinary incontinence.
- Author:
Won Chun CHOI
1
;
Yang Il PARK
Author Information
1. Department of Urology, Chonnam University Medical School, Kwangju, Korea.
- Publication Type:Original Article
- Keywords:
stress incontinence;
bladder neck suspension
- MeSH:
Follow-Up Studies;
Humans;
Neck;
Urethra;
Urinary Bladder;
Urinary Incontinence*;
Urinary Retention
- From:Korean Journal of Urology
1992;33(3):514-518
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bladder neck suspension to replace the bladder neck and proximal urethra into a high fixed retropubic position is paramount in the surgical treatment of genuine stress incontinence. Thirteen patients with grade II stress incontinence and one patient with grade III one underwent the Raz bladder neck suspension. All patients had no previous anti-incontinence operation. radiation therapy and pelvic trauma. Thirteen patients(93%) were cured and one patient(7%) improved with mean Follow-up period of 26 months. One failure case was due to insufficient suspension toward high retropubic position. The complications were not significant except temporary urinary retention of 2 to 9 days. The Raz bladder neck suspension providing good mobilization of paraurethral tissues is considerable way to the treatment of all types of genuine stress incontinence except those secondary to urethral intrinsic damage.
