Operative Results of Stress Urinary Incontinence.
- Author:
Il Young SEO
1
;
Jong Sung KIM
;
Ho Sung KIM
Author Information
1. Department of Urology, Wonkwang University, School of Medicine, Iksan, Korea.
- Publication Type:Original Article
- Keywords:
stress urinary incontinence
- MeSH:
Body Weight;
Follow-Up Studies;
Humans;
Neck;
Urinary Bladder;
Urinary Incontinence*;
Urinary Retention
- From:Korean Journal of Urology
1996;37(2):215-219
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We treated 34 patients of stress urinary incontinence by endoscopic bladder neck suspension procedure and Marshall-Marchetti-Krantz operation from November 1987 to January 1995. Mean follow-up period is 23 months(8-93 months) and results were as follows; 1 Mean period of incontinence is 54.5 months(S-180 months), mean age is 47.5 years(28-70 years), mean body weight is 58.5 kg(44-90 kg), and most patients were multiparous with an average of 3.4 deliveries(1-7 times). 2. Operative techniques were varied; Marshall-Marchetti-Krantz operation on 3 patients, Gittes operation on 9 patients, Stamey operation on 12 patients, Raz operation on 10 patients. 3. In the beaded chain cystourethrography, postoperative posterior urethrovesical angles were decreased as 24.00 in rest and 34.40 in strain, and postoperative bladder base elevations were in- creased as 0.9 cm in rest and 1.3 cm in strain. 4. Postoperative urinary retention appeared in 17 patients(Gittes 5, Stamey 8, Raz 4 pts.; 47.2%), and duration of voiding difficulty was 8.7 days(Gittes 10.2, Stamey 19.9, Raz 11.0 days). 5. Operative success rates were 100% in Marshall-Marchetti-Krantz, 88.9% in Gittes, 83.3% inStamey and 100% in Raz operation.
