Comparison of anterior colporrhaphy and retropubic urethropexy for patients with genuine stress urinary incontinence

American Journal of Obstetrics and Gynecology
R L HarrisG R Meeks

Abstract

Our purpose was to compared the efficacy of anterior colporrhaphy and retropubic urethropexy performed for genuine stress urinary incontinence. A retrospective analysis was performed on women who underwent either anterior colporrhaphy or retropubic urethropexy for genuine stress urinary incontinence. Patients were identified by a computer-assisted search, and these women were contacted by telephone. The interview was used to assess current continence status. Variables reviewed included demographic data, medications, hormonal status, current smoking history, significant medical and surgical history, and time to recurrence of incontinence. Operative procedure, prior or concomitant hysterectomy, history of previous incontinence procedures, concomitant surgery for repair of other pelvic floor defects, experience level of the primary surgeon, and duration of postoperative catheterization were also documented. Seventy-six women who had undergone surgery for genuine stress incontinence during a 4-year period were identified and evaluated by telephone interview. Fifty-six had undergone anterior colporrhaphy and 20 retropubic urethropexy. Both groups of patients were comparable in age, social status, race, parity, and weight. The durati...Continue Reading

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Citations

Oct 31, 1998·International Urogynecology Journal and Pelvic Floor Dysfunction·C G FloodL Waja
Jan 19, 1999·International Urogynecology Journal and Pelvic Floor Dysfunction·P L GiacaloneI Lombard
Nov 29, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Aparna D ShahLennox Hoyte
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Jan 28, 1999·Obstetrics and Gynecology Clinics of North America·A E Bent, M T McLennan

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