The Clinical and Urodynamic Effects of Anterior Vaginal Repair and Burch Colposuspension

Geelen, J. M. van; Theeuwes, A.; Eskes, T.K.A.B.; Martin, Chester B.

doi:10.1016/s0022-5347(17)41384-x

Cited by 18 publications

(33 citation statements)

References 12 publications

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“…that it is easier to cure mild SUI than severe SUI using the Bologna procedure. Other authors observed similar evidence using anterior repair, needle suspension or Burch procedure [17][18][19]. The prognosis value of a preoperative exteriorized cystocele was unexpected.…”

Section: Discussionmentioning

confidence: 78%

Anterior Repair Using Bologna Procedure: Long-term Results on Stress Urinary Continence

Fritel

Pigné

2002

Int Urogynecol J

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The aim of this study was to describe the prognostic factors and long-term results on stress urinary continence of the Bologna procedure for bladder neck suspension in women undergoing vaginal repair for large cystocele. This was a cohort study and questionnaire-based outcomes analysis. Subjects were 218 women operated on between 1982 and 1992. Their mean age was 66 years. The Bologna vaginal wall sling was associated with vaginal hysterectomy in 199 cases and with posterior colporrhaphy in 202 cases. Median follow-up was 69 months. Of the 218 patients, 182 were continent at stress (83%). The risk factors were low urethral pressure (<30 cmH(2)O, RR = 2.42), severity of preoperative stress urinary incontinence (RR = 2.01 for grade I, 4.03 for grade II and 8.10 for grade III), and an exteriorized cystocele (RR = 0.45). We concluded that the Bologna procedure allows bladder neck suspension during vaginal repair of cystocele, with good results on future continence.

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Section: Discussionmentioning

confidence: 78%

Anterior Repair Using Bologna Procedure: Long-term Results on Stress Urinary Continence

Fritel

Pigné

2002

Int Urogynecol J

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“…We were able to extract 17 studies from the literature that met the criteria: 10 studies reported on permanent [%18] and seven on absorbable sutures [19][20][21][22][23][24][25]. Demographic characteristics are reported in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Permanent or absorbable sutures for Burch colposuspension?

Smits-Braat

Vierhout

1995

Int Urogynecol J

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There is no consensus in the present literature on the type of suture material to be used for Burch colposuspension. The authors reviewed the available literature and studied the cure rates of the various studies. Seventeen studies which specified the suture material could be analysed. The mean cure rate in those that used permanent sutures was equal (87%) to the studies which used absorbable sutures. It was concluded that both types of suture material have equal success rates and that, on the basis of the present review, no specific advice on the type of sutures can be given.

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“…The sitting position is advantageous for two reasons: it is more comfortable for the patient during the more prolonged process of measuring the UCPP, and it permits easier access to the perineum for both insertion and adjustment of the urodynamic catheters. Van Gellen [5] found a negative correlation between the degree of incontinence and the UCPP parameters. In this study, using more clinically objective criteria for severity of incontinence, lower maximum UCP correlated significantly with the severe incontinence group regardless of the testing position.…”

Section: Discussionmentioning

confidence: 96%

“…Although the clinical relevance of the dynamic parameters of the UCPP have not been established, the static parameters, particularly the MUCP, are used as one measure of urethral sphincteric compromise [8,9]. Previous authors have suggested that the diagnostic accuracy of the UCPP is improved when performed in an upright position [2][3][4][5]. Although the standing position can be employed with relative ease to do a cystometrogram, it is both uncomfortable for the patient and technically challenging for the clinician during the measurement of the UCPP.…”

Section: Discussionmentioning

confidence: 99%

“…Cadogan et al [4], in a study comparing UCPPs in stress continent and stress incontinent women, found that the MUCP measured in the standing position showed the least overlap between the two groups. Van Geelen [5], on the other hand, found MUCPs to be increased in the sitting full position compared to both standing full and supine full. He found pressure transmission ratios (PTRs) in the mid urethra to be consistently lower in the sitting full position.…”

Section: Introductionmentioning

confidence: 93%

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Urethral closure pressure profiles in the standing position: Are they necessary?

et al. 1995

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The aim of the study was to assess the sensitivity for urodynamic abnormalities of both static and dynamic urethral closure pressure profiles done in the sitting and standing positions. Multichannel urethral closure pressure profilometry (UCPP) was performed on 21 patients complaining of stress incontinence. Two clinical groups were identified, those with mild to moderate and those with severe incontinence. The parameters of both the static and the dynamic UCPPs obtained in the sitting and standing positions were compared for sensitivity to urodynamic abnormalities. Non-parametric statistical methods were used (Wilcoxon signed rank test; Mann-Whitney test.) No statistically significant differences were found in the mean maximum urethral closure pressures (MUCPs) in the two positions. Patients with a clinical diagnosis of severe incontinence had decreased MUCPs in both positions. It was therefore concluded that the urethral closure pressure profile may be measured in the sitting position without compromising the results.

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The Clinical and Urodynamic Effects of Anterior Vaginal Repair and Burch Colposuspension

Cited by 18 publications

References 12 publications

Anterior Repair Using Bologna Procedure: Long-term Results on Stress Urinary Continence

Anterior Repair Using Bologna Procedure: Long-term Results on Stress Urinary Continence

Permanent or absorbable sutures for Burch colposuspension?

Urethral closure pressure profiles in the standing position: Are they necessary?

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