Dynamic rectus abdominis tendon colposuspension for female stress urinary incontinence: a new procedure and its follow-up.

Abstract:

AIMS AND OBJECTIVE:To describe the technique, results and follow-up of dynamic rectus abdominis tendon colposuspension (DRTC) in the management of female stress urinary incontinence (SUI). PATIENTS AND METHODS:Eighteen patients with SUI were studied prospectively from 1998 to 1999 who underwent DRTC. Type I and type II SUI patients with or without mild to moderate cystocoele were included in the study. A complete preoperative work-up was done as described in detail in this article. Follow-up assessment was done at 6 weeks, 3 and 6 months and then annually involving a SEAPI quality-of-life score, a satisfaction questionnaire, urge symptoms and assessment of dryness. RESULTS:Mean follow-up of these 18 patients was 20 +/- 6 months. Cure of symptoms and dryness was achieved in 16/18 (89%) of the patients. Four of 9 patients had residual urge symptoms and 2 developed de novo urge, which settled by 3 months; no patient required long-term anticholinergics. Three patients required clean self-intermittent catheterization (CSIC) immediately postoperatively but only 1 patient continued to perform CSIC after 3 months. Mean operating time was 41 +/- 10 min and mean hospital stay was 3.5 +/- 1 days. There were two failures, one in a patient with a neurogenic bladder and one in a patient with multiple previous pelvic operations. One so-called failure uses <2 pads/day postoperatively with an improvement in both symptom and dryness score. Postoperative complications include blood transfusion in 1, urinary tract infection in 1 and wound infection in 1 patient. All the patients with initial good results showed persistent results over follow-up. CONCLUSIONS:DRTC is a simple procedure with minimal morbidity showing good results, which are consistent on follow-up.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Goel MC,Roberts JG

doi

10.1159/000071093

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

45-50

issue

1

eissn

0042-1138

issn

1423-0399

pii

71093

journal_volume

71

pub_type

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