Study Objective. To compare two techniques of transperitoneal laparoscopic urethropexy.Design. Prospective, randomized, open trial (Canadian Task Force classificationSetting. University-affiliated department of gynecology and obstetrics.Patients. Sixty women with genuine stress incontinence.Interventions. Transperitoneal laparoscopic retropubic urethropexy using nonabsorbable sutures (group A) and polypropylene mesh fixed with tacks or staples (group B).Measurements and Main Results. Failure was assessed subjectively and objectively. Subjective evaluation was performed asking patients if they had urine loss and having them describe symptomatology on a visual analog scale before surgery and at each follow-up visit. Objective evaluation was by clinical examination and/or multichannel urodynamic studies. No significant differences in intraoperative and postoperative complications were observed between groups. The subjective failure rate was not significantly different between groups 3, 6, and 12 months after surgery At 3 and 6 months the objective failure rate was not significantly different; however, at 72 months it was significantly lower in group A than in group B.Conclusion. Transperitoneal laparoscopic retropubic urethropexy is more effective with sutures than with mesh.

Two techniques of laparoscopic retropubic urethropexy / Zullo, Fulvio; Morelli, Michele; Russo, Tiziana; Iuzzolino, Domenico; Palomba, Stefano. - In: THE JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS. - ISSN 1074-3804. - 9:2(2002), pp. 178-181. [10.1016/s1074-3804(05)60128-4]

Two techniques of laparoscopic retropubic urethropexy

Palomba, Stefano
2002

Abstract

Study Objective. To compare two techniques of transperitoneal laparoscopic urethropexy.Design. Prospective, randomized, open trial (Canadian Task Force classificationSetting. University-affiliated department of gynecology and obstetrics.Patients. Sixty women with genuine stress incontinence.Interventions. Transperitoneal laparoscopic retropubic urethropexy using nonabsorbable sutures (group A) and polypropylene mesh fixed with tacks or staples (group B).Measurements and Main Results. Failure was assessed subjectively and objectively. Subjective evaluation was performed asking patients if they had urine loss and having them describe symptomatology on a visual analog scale before surgery and at each follow-up visit. Objective evaluation was by clinical examination and/or multichannel urodynamic studies. No significant differences in intraoperative and postoperative complications were observed between groups. The subjective failure rate was not significantly different between groups 3, 6, and 12 months after surgery At 3 and 6 months the objective failure rate was not significantly different; however, at 72 months it was significantly lower in group A than in group B.Conclusion. Transperitoneal laparoscopic retropubic urethropexy is more effective with sutures than with mesh.
2002
Laparoscopic ; Retropubic Urethropexy
01 Pubblicazione su rivista::01a Articolo in rivista
Two techniques of laparoscopic retropubic urethropexy / Zullo, Fulvio; Morelli, Michele; Russo, Tiziana; Iuzzolino, Domenico; Palomba, Stefano. - In: THE JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS. - ISSN 1074-3804. - 9:2(2002), pp. 178-181. [10.1016/s1074-3804(05)60128-4]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1664175
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