https://doi.org/10.4081/uij.2003.57

FOUR-CORNER BLADDER AND URETHRAL RETROPUBIC SUSPENSION VERSUS ANTERIOR COLPORRHAPHY IN THE CORRECTION OF STRESS URINARY INCONTINENCE WITH URETHROCYSTOCELE 3-4. RANDOMIZED CLINICAL TRIAL

Vol. 17 No. 2 (2003)
Submitted: 21 June 2010
Accepted: 21 June 2010
Published: 1 July 2010
Female stress incontinence, Nichols’ surgical procedure, Randomized clinical trial, Raz surgical technique, urethrocystocele.
Abstract Views: 447
PDF: 361
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

V. SCOTTO DI PALUMBO
vincenzosco@tiscali.it
In this study we compared, in a prospective randomized trial, the results, in terms of anatomic and functional correction, of two procedures for Stress urinary incontinence (SUI) with cystocele 3-4: four-corner retropubic correction versus anterior repair with medial duplication of the pubocervical fascia and pubourethral ligaments plication. From June 1996 through April 2000, 80 patients affected by SUI type 1 and 2 according to Blaivas with urethrocystocele of 3 or 4 degrees according to the halfway system were randomly assigned to one of the following treatments (randomization 2:1): -1. Anterior colporrhaphy according to Nichols (52 women); -2. Four-corner bladder and urethral retropubic suspension according to Raz (28 women). The follow-up time of patients varied from 280 to 1670 days. The SUI relapse occurred in 26.9% of patients who underwent Nichols’ technique, against the 14.3% found in the other group, with a statistically significant difference (p<0.01). By contrast, the anatomic correction of vaginal profile did not result significantly different in the two groups analyzed. We concluded that the four-corner procedure is more successful in terms of incontinence cure.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC

How to Cite

SCOTTO DI PALUMBO, V. (2010). FOUR-CORNER BLADDER AND URETHRAL RETROPUBIC SUSPENSION VERSUS ANTERIOR COLPORRHAPHY IN THE CORRECTION OF STRESS URINARY INCONTINENCE WITH URETHROCYSTOCELE 3-4. RANDOMIZED CLINICAL TRIAL. Urogynaecologia, 17(2), 57–68. https://doi.org/10.4081/uij.2003.57

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.

An Open Access Publication is one that meets the following two conditions:

  1. the author(s) and copyright holder(s) grant(s) to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship, as well as the right to make small numbers of printed copies for their personal use.
  2. a complete version of the work and all supplemental materials, including a copy of the permission as stated above, in a suitable standard electronic format is deposited immediately upon initial publication in at least one online repository that is supported by an academic institution, scholarly society, government agency, or other well-established organization that seeks to enable open access, unrestricted distribution, interoperability, and long-term archiving.

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.

Similar Articles

<< < 4 5 6 7 8 9 10 11 > >> 

You may also start an advanced similarity search for this article.