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International Urogynecology Journal

, Volume 2, Issue 4, pp 201–207 | Cite as

Retropublic colpourethropexy with transabdominal anterior and/or posterior repair for the treatment of genuine stress urinary incontinence and genital prolapse

  • H. P. Drutz
  • K. R. Baker
  • M. -C. Lemieux
Original Article

Abstract

A new operative technique combining retropublic colpourethropexy with transabdominal internal anterior and/or internal posterior repair for the treatment of genuine stress incontinence (GSI) and genital prolapse is described in 75 cases. The overall success rate in correcting GSI was 92.0%, with a 94.8% success rate in the primary surgical group (n=58) and an 82.4% in the secondary group (n=17). Average follow-up has been 1.31 years (range 6 weeks–6 years). There was a 3.4% incidence of residual prolapse. Nine patients also underwent concomitant colpourethropexy. Overall surgical complications include febrile morbidity 4/75 (5.3%), wound infection 1/75 (1.3%), deep vein thrombosis 1/75 (1.3%) and partial ureteric obstruction 1/75 (1.3%). There were no statistically significant changes in multichannel urodynamic studies preoperatively and at 1 year following surgery. Onethird (2/6) of the GSI failures had low MUCP (<20 cm H2O) prior to surgery and continued so at 1 year follow-up.

Keywords

Genuine stress urinary incontinence Genital prolapse Low closure pressures Retropubic colpourethropexy Transabdominal internal anterior and/or internal posterior repair Urodynamic testing 

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Copyright information

© The International Urogynecology Journal 1991

Authors and Affiliations

  • H. P. Drutz
    • 1
    • 2
  • K. R. Baker
    • 1
    • 2
  • M. -C. Lemieux
    • 1
    • 2
  1. 1.The Gynecological Urology and Urodynamic Investigative UnitMount Sinai HospitalTorontoCanada
  2. 2.Section of Urogynecology, Department of Obstetrics and GynecologyUniversity of TorontoTorontoCanada

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