The long‐term outcome of retropubic urethrocystopexy (sutures and fibrin sealant) and pubococcygeal repair

Abstract

Accurate assessment of the results of any surgical treatment of stress urinary incontinence is difficult. During long term follow-up period significant changes may occur among the women, e.g. menopause and increase of Body Mass Index both predisposing to urinary incontinence.

Choice of surgery for stress incontinence

“…72 The authors found 9 trials involving 932 women. 13,18,[30][31][32][73][74][75][76] Anterior repair was less effective than open retropubic suspension in 8 trials after the first year (failure rates 41% vs. 17%; RR, 2.5; 95% CI, 1.92-3.26). The authors concluded that open abdominal retropubic suspension appeared to be better than anterior repair judged on subjective cure rates in six trials, even in women who had prolapse in addition to stress incontinence.…”

Untitled

“…One group of investigators asked women to carry out two 24-hour tests: one when maximum physical exercise was undertaken and one when minimum physical exercise was undertaken [62,71]. In three studies pads were changed every 2 hours [62,71,73]; in one study pads were changed as required [63]; the remaining studies did not give details. In five studies the research staff weighed the pads [20,56,73,82,83].…”