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Transvaginal colposuspension for the treatment of genuine stress incontinence combined with vaginal hysterectomy: a preliminary report

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Abstract

The authors used a new, simple, modified transvaginal needle colposuspension technique in combination with vaginal hysterectomy for uterine prolapse and cystocele repair. The technique was used in 20 women with genuine stress incontinence which was urodynamically proven. One year after operation, 90% of patients were clinically normal and 85% were urodynamically cured. The advantages of this new technique are that the cost of the needle is low, it can be applied in all cases where a vaginal approach is necessary, and the method of needle insertion avoids perforation of the bladder.

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EDITORIAL COMMENT: It is still uncommon to have studies of new operative procedures employ urodynamic studies both pre- and post-operatively. Although 1-year results give an indication of how the new procedure will fare in comparison to other similar procedures already reported in the literature, long-term results are the most valuable. This editor would like to encourage these and other authors who report 1-year results to follow up their patients at 5 years, and report these results as well.

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Barlas, P., Hatzipapas, J., Bias, A. et al. Transvaginal colposuspension for the treatment of genuine stress incontinence combined with vaginal hysterectomy: a preliminary report. Int Urogynecol J 7, 20–23 (1996). https://doi.org/10.1007/BF01895099

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