A Comparison of Results of Raz Bladder Neck Suspension between Women Younger than sixty-five Years and Elderly Women

No abstract available.

Comparison of Extraperitoneal Laparoscopic Burch Operation versus Raz Operation for Stress Urinary Incontinence / 대한비뇨기과학회지

PURPOSE: Results of extraperitoneal laparoscopic bladder neck suspension(BNS) and that of Raz procedure for the correction of stress urinary incontinence (SUI) were analyzed retrospectively. MATERIALS AND METHODS: Among 39 patients who underwent laparoscopic BNS for anatomical SUI, 28 patients had follow-up study at postoperative 6 months. All 87 patients who underwent Raz procedure were also followed up at postoperative 6 months. RESULTS: Mean operation time in laparoscopic BNS was 138 min initially but, was shortened to 95 min. after using 'thick (5 mm) knot pusher'; whereas mean operation time in Raz group was 56min. Return to normal voiding and mean duration of hospital stay were possible in 1.2 days and 2.6 days in laparoscopic group and 11.9 days and 4.5 days in Raz group with significant difference between 2 groups. Amount of residual urine at discharge was less than 100cc In all except 1 case in laparoscopic group(27/28, 96%). However in Raz group, 35 patient(40%) still showed residual urine of more than 1 00ml at the time of discharge. Postoperatively, voiding difficulty was noted in 3, frequency in 15, bleeding in 2, dyspareunia and bladder stone in 1 case for Raz group; In laparoscopic group, frequency was noted in 3, voiding difficulty in 2, needs of transfusion in 2 cases. 26 of 28 patients(85%) were completely dry or Improved in laparoscopic group; 82 of 87 patients(93%) In Raz group also showed complete dryness of improvement without significant difference in success rate between 2 groups. CONCLUSIONS: From our results, laparoscopic bladder neck suspension could shorten the duration of hospital stay and time to regaining normal voiding with early catheter removal. High success rate was also comparable to those of Raz operation. Laparoscopic BNS could applies as erective treatment modality for the surgical correction of anatomical stress urinary incontinence with its less invasiveness and early return to normal activities compared with the Raz procedure.

Experience of Raz Transvaginal Bladder Neck Suspension and Anterior Vaginal Wall Sling Operation for Female Stress Urinary Incontinence and Cystocele / 대한비뇨기과학회지

PURPOSE: We retrospectively evaluated the 45 patients who underwent the original Raz procedure and anterior vaginal wall sling(AVWS) operation for stress urinary incontinence(SUI) with or without cystocele. MATERIALS AND METHODS: Transvaginal bladder neck suspension was performed in 14 patients, 4-corner bladder and bladder neck suspension in 16 patients, anterior vaginal wall sling in 14 patients, and 6-corner suspension in one patient. Of 16 patients who underwent 4-corner operation, 11 had grade 2 cystocele, and 5 had grade 3 cystocele. RESULTS: Mean age was 49 years and mean parity was 2.7. Duration of symptom was 58.5 months in average. Patients with grade l was 27%(12), grade ll was 69%(31) and grade lll was 4%(2). Mean operation times were 92. 1minutes in Raz bladder neck suspension, 90.9minutes in 4-corner bladder and bladder neck suspension, and 76.2minutes in anterior vaginal wall sling. The duration of follow up was 20 months in average. Urinary incontinence was completely disappeared in 40 patients(91%), and significantly improved in 3 patients(7%), but one patient(2%) underwent Raz BNS was recurred. Complications include a case of severe bleeding requiring intraoperative transfusion, 2 cases of prolonged retention, 2 cases of do novo urgency and 2 cases of persistent weak urinary stream. CONCLUSIONS: Our midterm result for Raz BNS and 4-corner operation was good(96.7%) and short term result for AVWS was excellent(100%). We think that original Raz BNS may be used in patients with mild SUI without ISD. And, long term follow-up for AVWS operation is required to determine persistence of the good results in patients with moderate to severe SUI.

Transvaginal Bladder Neck Suspension of Raz Technique for Stress Urinary Incontinence / 대한비뇨기과학회지

We retrospectively evaluated the 20 patients who underwent the Raz operation for stress urinary incontinence. In the degree of severity, 4 cases were in Stamey grade I, 14 cases in Stamey grade II and 2 cases in Stamey grade III. Posterior urethrovesical angle(PUVA) and Urethral inclination angle(ULA) on lateral cystourethrogram were measured preoperatively and postoperatively. Preoperative PUTA and ULA were increased as the grade was higher, but postoperative PUVA and ULA were returned to normal range. The overall success rate were 90% and complications were minima1. We think that Raz technique for stress urinary incontinence is safe, reliable and low morbidity procedure.

Raz's Modification of Original Pereyra Procedure for the Correction of Urinary Incontinence / 대한비뇨기과학회지

A Raz's modification of original pereyra procedure for Grade II stress incontinence. using a lung biopsy needle, is described with a brief literature. Merits of Raz's procedure include operative simplicity, short hospitalization and a high rate of cure.