Effectiveness of the intraoperative chain cystourethrogram in "No-incision" bladder neck suspension / 대한비뇨기과학회지

"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.

Value of beaded-chain cystourethrogram in stress urinary incontinence / 대한비뇨기과학회지

The role of chain cystourethrogram in the diagnosis of stress urinary incontinence (SUI) is still controversial. This study evaluates the diagnostic significance of beaded-chain cystourethrogram in 37 women with stress urinary incontinence and 18 continent women as control. The results were as follows: 1. In women with SUI, the degree of urinary incontinence was divided into three groups by Stamey classification: Grade I in 4 patients, grade III in 23 patients and Grade III in 10 patients. 2. The range of posterior urethrovesical angle was as follows: those of 2 cases (5.4%) of incontinent women and 2 cases (11.1%) of continent women were in the range of 90-100 degrees (normal) showed, those of 16 cases (45.2%) of incontinent women and 12 cases (66.7%) of continent women were in the range or 101-150 degrees. And those of 19 cases (51.4%) of incontinent women and 4 cases (22.2%) of continent women were in the range of 151-180 degrees (p>0.05). 3. The range of urethral inclination was as follows : those of 12 cases (32.4%) of incontinent women were abnormal (>45%). but those of all continent women were within normal range (p0.05).