SIMPLIFIED RETROPUBIC URETHROPEXY IN THE TREATMENT OF PRIMARY AND RECURRENT URINARY STRESS INCONTINENCE IN THE FEMALE

被引:19
作者
COWAN, W
MORGAN, HR
机构
[1] Department of Obstetrics and Gynecology, McMaster University Hamilton, Ont.
关键词
D O I
10.1016/0002-9378(79)90682-3
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Urinary incontinence presents a severe social handicap to the patient and achallenge which has taxed the imagination and ingenuity of surgeons for over a century. Restoration of the urethrovesical junction to its normal retropubic intra-abdominal level will usually result in the cure of pure anatomic female stress incontinence. A retropubic approach is utilized in order to provide for identification and mobilization of the urethra, bladder neck, and vagina. Nonabsorbable sutures are used to attach the perivaginal fascia to the pectineal ligament. The operative technique is described in detail. A series of 77 patients who have been followed for up to 3 1 2years is presented, showing a stress incontinence cure rate of 96.1%. © 1979.
引用
收藏
页码:295 / 298
页数:4
相关论文
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