| Title |
Moterų šlapimo nelaikymo chirurginis gydymas - nuo atvirųjų iki minimaliai invazinių operacijų / |
| Translation of Title |
Surgical treatment of female stress urinary incontinence: from open to minimally invasive operations. |
| Authors |
Černiauskienė, Aušra ; Stanaitis, Juozas |
| DOI |
10.15388/LietChirur.2003.1.2443 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilniaus universiteto leidykla. 2003, t. 1, Nr. 1, p. 44-53.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
urinary incontinence ; surgical treatment ; laparoscopic colposuspension ; suburethral sling |
| Abstract [eng] |
Background / objective The aim of work: to describe different surgical methods in treating female stress urinary incontinence (classical Burch colposuspension, laparoscopic colposuspension and suprapubical implantation of SPARC sling), to show the results, to analyze the preferable methods. Methods 229 open colposuspensions according to Burch, 10 laparoscopic colposuspensions and 2 SPARC sling implantations (suburethral raising with prolene sling) were performed in General Surgery Clinic of Vilnius University Emergency Hospital during the period 1996–2002. We present early and long-term results for 103 patients operated on in 1996–2000 with open Burch colposuspension and early results after laparoscopic colposuspension (1999–2001). All female patients were examined (urodynamic investigation, colpocystograms) and stress urinary incontinence was diagnosed. The average hospitalization time was 14.7 days after open operation, 7 days after laparoscopic operation, and 4 days after SPARC sling implantation. Catheter from the urine bladder was removed after 5 days in case of Burch operation, after 3 days in case of laparoscopic operation, and after 1 day in case of SPARC sling implantation. Early postoperative results were assessed after 3 months, and long-term postoperative results after 1–2 years, 2–3 years and 3–4 years. Results After open Burch operations early (after 3 months) results were very good and good in 96.1% , long-term results were very good and good after 1–2 years in 87.4%, after 2–3 years in 84.1% and after 3–4 years in 81.3% of patients. After laparoscopic colposuspensions, early results were very good and good in 9 cases, medium in one case (the patient contained urine normally but complained of imperative urination with minimal urine excretion). Conclusions Our results show that both open and laparoscopic colposuspensions remain effective operations in rapidly treating female stress urinary incontinence. SPARC sling implantation is a common, quick to perform, effective operation with less postoperative complications, however, it is expensive. |
| Published |
Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2003 |
| CC license |
|
