Abstract
The morbidity of two operations used to treat genuine stress urinary incontinence was evaluated. The data of 115 patients who underwent primary incontinence surgery with a Burch or Pereyra (RPUP) procedure between January 1978 and August 1992 were analyzed and information regarding complications was accrued. Patients were divided into four groups of 50: group I, Burch alone; group II, Pereyra alone; group III, Burch with concomitant operations; and group IV, Pereyra with concomitant operations. In group I (n=7) no patient had intra- or immediate postoperative complications; 1 patient had a late complication. In group II (n=14): 1 patient (7%) had an intraoperative complication, 4 (28%) experienced immediate and 4 (28%) late postoperative complications. Of group III, (n=26) 7 patients (27%) had intraoperative, 9 (35%) immediate and 2 (8%) late postoperative complications. In group IV (n=68) 12 patients (18%) had intraoperative, 17 (25%) immediate, and 22 (31%) late postoperative complications. Patients undergoing a Pereyra and a concomitant procedure had significantly more late postoperative complications than did similar patients who underwent a Burch procedure (P<0.03). It was concluded that RPUPs have varying degrees of associated morbidity. No significant difference was noted in intraoperative complications rates between the four groups, though postoperative complication rates varied significantly.
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References
Palmer MH. Incontinence: the magnitude of the problem. Nurs Clin North Am 1988;23:139–157
Diokno AC, Brock BM, Brown MB et al. Prevalence of urinary incontinence and other urological symptoms in the noninstitutionalized elderly. J Urol 1986;136:1022–1025
Rowe JW. The NTH Consensus Development Panel: Urinary incontinence in adults. JAMA 1989;261:2685–2690
Kelly HA. Incontinence of urine in women. Urol Curan Rev 1913;17:291–293
Marshall VT, Marchetti AA, Krantz KE. The correction of stress incontinence by simple vesicourethral suspension. Surg Gynecol Obstet 1949;88:509–518
Pereyra AJ. A simplified surgical procedure for the correction of stress incontinence in women. West J Surg 1959;67:223–226
Pereyra AJ, Lebherz TB, Growdon WA, Powers JA. Pubourethral supports in perspective: modified Pereyra procedure for urinary incontinence. Obstet Gynecol 1982;59:643–648
Burch JC. Urethrovaginal fixation to Cooper's ligament for the correction of stress incontinence, cystocele, rectocele and prolapse. Am J Obstet Gynecol 1961;81:281–290
Low JA. Management of anatomic urinary incontinence by vaginal repair. Am J Obstet Gynecol 1967;97:308–315
Stamey TA. Endoscopic suspension of vesical neck for urinary incontinence. Surg Gynecol Obstet 1973;136:547–554
Raz S. Modified bladder neck suspension for female stress incontinence. Urology 1981;17:82–84
Muzsnai D, Carrillo E, Dubin C, Silverman I. Retropubic vaginoplasty for correction of urinary stress incontinence. Obstet Gynecol 1982;59:113–118
Tanagho EA. Colpocystourethropexy: the way we do it. J Urol 1976;116:751–753
Karram MM, Bhatia NN. Transvaginal needle bladder neck suspension procedures for stress urinary incontinence: a comprehensive review. Obstet Gynecol 1989;73:906–914
Bergman A, Koonings PP, Ballard CA. Primary stress incontinence and pelvic relaxation: prospective randomized comparison of three different operations. Am J Obstet Gynecol 1989;161:97–101
Loughlin KR, Gittes RF, Klein LA, Whitmore WF III. The comparative medical costs of 2 major procedures available for the treatment of stress urinary incontinence. J Urol 1982;127:436–438
Lee RA, Symmonds RE, Goldstein RA. Surgical complications and results of modified Marshall-Marchetti-Krantz procedure for urinary incontinence. Obstet Gynecol 1979;53:447–450
Wall LL, DeLancey JOL. The politics of prolapse: a revisionist approach to disorders of the pelvic floor in women. Perspec Biol Med 1991;34:486–496
Frewen W. Role of bladder training in the treatment of the unstable bladder in the female. Urol Clin North Am 1979;6:273–277
Mahady IW, Begg BM. Long-term symptomatic and cystometric cure of the urge incontinence syndrome using a technique of bladder re-education. Obstet Gynaecol 1981;88:1038–1043
Hu T, Igou JF, Kaltreider L, Yu LC, Rohner TJ, Dennis PJ, Craighead WE, Hadley EC, Ory MG. A clinical trial of a behavioral therapy to reduce urinary incontinence in nursing homes: outcome and implications. JAMA 1989;261:2656–2662
Jetter KF, Wagner DB. Incontinence in the American home: a survey of 36,500 people. J Am Geriatr Soc 1990;38:379–383
Caldwell KPS. The electrical control of sphincter incompetence. Lancet 1963;2:174–175
Kegel AM. Physiologic therapy for urinary stress incontinence. JAMA 1951;146:915–917
Burgio KL, Robinson JR, Engel BT. The role of biofeedback in Kegel exercise training for stress urinary incontinence. Am J Obstet Gynecol 1986;154:58–64
Hilton P, Stanton SL. The use of intravaginal oestrogen cream in genuine stress incontinence. Br J Obstet Gynaecol 1983;90:940–944
Bergman A, Matthews L, Ballard CA, Roy S. Suprapubic versus transurethral bladder drainage after surgery for stress urinary incontinence. Obstet Gynecol 1987;69:546–549
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Solh, S., Holschneider, G.H., Lebherz, T.B. et al. Retropubic urethropexy (RPUP): A 15-year review of perioperative complications. Int Urogynecol J 5, 349–352 (1994). https://doi.org/10.1007/BF00418698
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DOI: https://doi.org/10.1007/BF00418698