ISSN:
1433-8726
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary During the years 1981–1985, 251 female patients with stress incontinence consulted the department. The average age was 47.3 years. Surgical treatment consisting of cystourethropexy ad modem Marshall-Marchetti-Krantz, Stamey-Pereyra, or by fascial sling and/or periurethral injection with Teflon was performed in 185 patients, with a total of 215 procedures. In a retrospective study, factors which could possibly predict the results of the procedures were investigated. Obesity, parity, bladder capacity, detrusor compliance, maximum voiding pressure, and urethral instability showed no statistically significant relation to the success rate of the various procedures. Previous pelvic surgery or detrusor instability impaired the results in this group. The overall success rates of the 215 procedures were: Marshall-Marchetti-Krantz 76% (54 procedures), Stamey-Pereyra 65% (49), fascial sling 40% (35) and Teflon injection 43% (77). Restricting the results to those procedures that were primary in patients with genuine stress incontinence did not change the success rate for Marshall-Marchetti-Krantz: 74% (38), but showed increased success rates for the other procedures: Stamey-Pereyra 88% (34), fascial sling 64% (22) and Teflon injection 54% (52).
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00326843
