Effectiveness of the intraoperative chain cystourethrogram in "No-incision" bladder neck suspension.
- Author:
Sung Joong CHO
1
;
Yong Ho PARK
Author Information
1. Department of Urology, College of Medicine, Soonchang University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Stress incontinence;
Intraoperative chain cystourethrogram
- MeSH:
Anesthesia, Spinal;
Catheters;
Follow-Up Studies;
Humans;
Neck*;
Nylons;
Sutures;
Traction;
Urinary Bladder*;
Urinary Retention;
Valsalva Maneuver
- From:Korean Journal of Urology
1993;34(5):889-893
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
"No-incision" bladder neck suspension, Gittes` operation, is a simple & effective technique among the various surgical technique. But occasionally patients was complained of long - term urinary retention and voiding difficulty after operation because or excessive traction of the nylon suture. We prevented them using chain cystourethrogram intraoperatively. This operation was performed under the spinal anesthesia which the patients can do the Valsalva maneuver during operation. Posterior urethrovesical angle was not significantly different between preoperative & intraoperative chain cystourethrogram. We corrected wide posterior urethrovesical angle to about 100 (mean angle of the normal range). Normal voiding after catheter removal & duration of admission was signiricantly decreased in intraoperative chain cystourethroram group(p<0.05). During 11 months follow-up, overall cure rate was 84.6% without long-term postoperatively voiding difficulty. We concluded that intraoperative chain cystourethrogram was useful methods for good results.
