Laparoscopic Burch Colposuspension (Transperitoneal Approach) / 대한비뇨기과학회지
Korean Journal of Urology
;
: 1118-1122, 1998.
Artigo
em Coreano
| WPRIM
| ID: wpr-51017
ABSTRACT
PURPOSE:
The Burch bladder neck suspension is a effective treatment for stress urinary incontinence due to hypermobility. To assess the safety, effectiveness and potential benefits of the transperitoneal laparoscopic Burch colposuspension. MATERIALS ANDMETHOD:
We assessed the short-term result of 15 patients who underwent a laparoscopic Burch colposuspension with transperitoneal approach. All patients had stress incontinence with bladder neck hypermobility and no cystocele and rectocele. The 14 patients had coexisting disorder(uterine myoma 11, ovarian cyst 2, carcinoma in situ 1), so concomitant operation was performed 14 cases(laparoscopic assisted vaginal hysterectomy 12, laparoscopic assisted ovarian cystectomy.RESULTS:
In 15 patient who underwent the laparoscopic procedure, continent in 11(73%), improved in 1 (6%) and failed in 3(20%) with mean follow-up of 14 months (range 6-18). The mean operation time was 81 minutes(range 70-120), mean postoperative hospital stay was 4.8 days(range 3-7).CONCLUSIONS:
Laparoscopic colposuspension with the transperitoneal approach is a reasonable alternative in treating stress urinary incontinence, especially when the patients have previous properitoneal or lower abdominal surgery or concomitant operation for coexisting disease. Early results are similar to those of open and needle suspension techniques, although longer follow-up is necessary to determine longterm efficiency.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cistos Ovarianos
/
Incontinência Urinária
/
Bexiga Urinária
/
Carcinoma in Situ
/
Cistectomia
/
Seguimentos
/
Retocele
/
Cistocele
/
Histerectomia Vaginal
/
Tempo de Internação
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Urology
Ano de publicação:
1998
Tipo de documento:
Artigo
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