Secondary colposuspension: results of a prospective study from a tertiary referral centre
Objective To evaluate the results of secondary colposuspension in women with recurrent urinary stress incontinence. Design Prospective cross sectional observational study. Setting Tertiary referral urogynaecology unit. Population Fifty‐six women with recurrent stress incontinence. Main outcome measu...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2002-10, Vol.109 (10), p.1115-1120 |
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| container_title | BJOG : an international journal of obstetrics and gynaecology |
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| creator | Thakar, Ranee Stanton, Stuart Prodigalidad, Lisa Boon, Jan |
| description | Objective
To evaluate the results of secondary colposuspension in women with recurrent urinary stress incontinence.
Design
Prospective cross sectional observational study.
Setting
Tertiary referral urogynaecology unit.
Population
Fifty‐six women with recurrent stress incontinence.
Main outcome measures
Determine prognostic factors that may affect the outcome of surgery, long term subjective and objective success rates and identify complications of secondary colposuspension.
Results
The mean age was 54 years (range 34–83) and the median parity was 3 (range 1–5). The median length of follow up was four years (range 1.01–7.07). Forty‐two (75%) women had genuine stress incontinence and 14 (25%) had mixed incontinence on subtracted cystometry. The subjective cure rate was 71% and the objective cure rate was 80% and, as per Kaplan–Meier life time analysis, 65% had not failed surgery five years after the operation. The complication rate was low. However at follow up, eight women had required a posterior colporrhaphy for rectocele and three had a sacrocolpopexy for vault prolapse. Another eight women required further treatment for stress incontinence (seven urethral bulking agents and one tension‐free vaginal tape). There was no correlation of the outcome to age, past hysterectomy, number of previous incontinence procedures, parity, body mass index or blood loss at operation.
Conclusion
Colposuspension after failed continence surgery has a good outcome with a low complication rate, but many still require further surgery for prolapse. |
| doi_str_mv | 10.1111/j.1471-0528.2002.01377.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_72189031</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>72189031</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3777-6f5013033ead4be285a9f5fcd1b4bc89ecb2209152fc8c8643a681569adac96e3</originalsourceid><addsrcrecordid>eNqNkElPwzAUhC0EolD4C8gXuCV4yeIgcYCKVZV6AA6cLMd5llJlKXYC7b_HaSN6xRc_ab55Hg9CmJKQ-nO9DGmU0oDETISMEBYSytM0XB-gkz_hcDuTgHAmJujUuSUhNGGEH6MJZVykUcJP0Ocb6LYplN1g3Var1vVuBY0r2-YGW3B91TncGqzwyrZe0V35Ddh1fbHBxra1FzqwXTn4LRiwVlVYQ9NZOENHRlUOzsd7ij4eH95nz8F88fQyu5sH2kdOg8TEPjzhHFQR5cBErDITG13QPMq1yEDnjJGMxsxooUUScZUIGieZKpTOEuBTdLXb6xN-9eA6WZdOQ1WpBtreyZRRkRFOPSh2oPZfcT6tXNmy9sklJXKoVS7l0J4c2pNDrXJbq1x768X4Rp_XUOyNY48euBwB5bSqjFWNLt2e41ns9yWeu91xP2UFm38HkPevi2HivyXnlH0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>72189031</pqid></control><display><type>article</type><title>Secondary colposuspension: results of a prospective study from a tertiary referral centre</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Thakar, Ranee ; Stanton, Stuart ; Prodigalidad, Lisa ; Boon, Jan</creator><creatorcontrib>Thakar, Ranee ; Stanton, Stuart ; Prodigalidad, Lisa ; Boon, Jan</creatorcontrib><description>Objective
To evaluate the results of secondary colposuspension in women with recurrent urinary stress incontinence.
Design
Prospective cross sectional observational study.
Setting
Tertiary referral urogynaecology unit.
Population
Fifty‐six women with recurrent stress incontinence.
Main outcome measures
Determine prognostic factors that may affect the outcome of surgery, long term subjective and objective success rates and identify complications of secondary colposuspension.
Results
The mean age was 54 years (range 34–83) and the median parity was 3 (range 1–5). The median length of follow up was four years (range 1.01–7.07). Forty‐two (75%) women had genuine stress incontinence and 14 (25%) had mixed incontinence on subtracted cystometry. The subjective cure rate was 71% and the objective cure rate was 80% and, as per Kaplan–Meier life time analysis, 65% had not failed surgery five years after the operation. The complication rate was low. However at follow up, eight women had required a posterior colporrhaphy for rectocele and three had a sacrocolpopexy for vault prolapse. Another eight women required further treatment for stress incontinence (seven urethral bulking agents and one tension‐free vaginal tape). There was no correlation of the outcome to age, past hysterectomy, number of previous incontinence procedures, parity, body mass index or blood loss at operation.
Conclusion
Colposuspension after failed continence surgery has a good outcome with a low complication rate, but many still require further surgery for prolapse.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/j.1471-0528.2002.01377.x</identifier><identifier>PMID: 12387463</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Blood Loss, Surgical ; Colposcopy - methods ; Cross-Sectional Studies ; Female ; Female genital diseases ; Follow-Up Studies ; Gynecology. Andrology. Obstetrics ; Humans ; Length of Stay ; Medical sciences ; Middle Aged ; Non tumoral diseases ; Prospective Studies ; Quality of Life ; Recurrence ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the urinary system ; Survival Analysis ; Treatment Outcome ; Urinary Incontinence, Stress - surgery</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2002-10, Vol.109 (10), p.1115-1120</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3777-6f5013033ead4be285a9f5fcd1b4bc89ecb2209152fc8c8643a681569adac96e3</citedby><cites>FETCH-LOGICAL-c3777-6f5013033ead4be285a9f5fcd1b4bc89ecb2209152fc8c8643a681569adac96e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1471-0528.2002.01377.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1471-0528.2002.01377.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45552,45553</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13950026$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12387463$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thakar, Ranee</creatorcontrib><creatorcontrib>Stanton, Stuart</creatorcontrib><creatorcontrib>Prodigalidad, Lisa</creatorcontrib><creatorcontrib>Boon, Jan</creatorcontrib><title>Secondary colposuspension: results of a prospective study from a tertiary referral centre</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objective
To evaluate the results of secondary colposuspension in women with recurrent urinary stress incontinence.
Design
Prospective cross sectional observational study.
Setting
Tertiary referral urogynaecology unit.
Population
Fifty‐six women with recurrent stress incontinence.
Main outcome measures
Determine prognostic factors that may affect the outcome of surgery, long term subjective and objective success rates and identify complications of secondary colposuspension.
Results
The mean age was 54 years (range 34–83) and the median parity was 3 (range 1–5). The median length of follow up was four years (range 1.01–7.07). Forty‐two (75%) women had genuine stress incontinence and 14 (25%) had mixed incontinence on subtracted cystometry. The subjective cure rate was 71% and the objective cure rate was 80% and, as per Kaplan–Meier life time analysis, 65% had not failed surgery five years after the operation. The complication rate was low. However at follow up, eight women had required a posterior colporrhaphy for rectocele and three had a sacrocolpopexy for vault prolapse. Another eight women required further treatment for stress incontinence (seven urethral bulking agents and one tension‐free vaginal tape). There was no correlation of the outcome to age, past hysterectomy, number of previous incontinence procedures, parity, body mass index or blood loss at operation.
Conclusion
Colposuspension after failed continence surgery has a good outcome with a low complication rate, but many still require further surgery for prolapse.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Blood Loss, Surgical</subject><subject>Colposcopy - methods</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Follow-Up Studies</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Non tumoral diseases</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Recurrence</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>Survival Analysis</subject><subject>Treatment Outcome</subject><subject>Urinary Incontinence, Stress - surgery</subject><issn>1470-0328</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkElPwzAUhC0EolD4C8gXuCV4yeIgcYCKVZV6AA6cLMd5llJlKXYC7b_HaSN6xRc_ab55Hg9CmJKQ-nO9DGmU0oDETISMEBYSytM0XB-gkz_hcDuTgHAmJujUuSUhNGGEH6MJZVykUcJP0Ocb6LYplN1g3Var1vVuBY0r2-YGW3B91TncGqzwyrZe0V35Ddh1fbHBxra1FzqwXTn4LRiwVlVYQ9NZOENHRlUOzsd7ij4eH95nz8F88fQyu5sH2kdOg8TEPjzhHFQR5cBErDITG13QPMq1yEDnjJGMxsxooUUScZUIGieZKpTOEuBTdLXb6xN-9eA6WZdOQ1WpBtreyZRRkRFOPSh2oPZfcT6tXNmy9sklJXKoVS7l0J4c2pNDrXJbq1x768X4Rp_XUOyNY48euBwB5bSqjFWNLt2e41ns9yWeu91xP2UFm38HkPevi2HivyXnlH0</recordid><startdate>200210</startdate><enddate>200210</enddate><creator>Thakar, Ranee</creator><creator>Stanton, Stuart</creator><creator>Prodigalidad, Lisa</creator><creator>Boon, Jan</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200210</creationdate><title>Secondary colposuspension: results of a prospective study from a tertiary referral centre</title><author>Thakar, Ranee ; Stanton, Stuart ; Prodigalidad, Lisa ; Boon, Jan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3777-6f5013033ead4be285a9f5fcd1b4bc89ecb2209152fc8c8643a681569adac96e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Blood Loss, Surgical</topic><topic>Colposcopy - methods</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>Follow-Up Studies</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Non tumoral diseases</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Recurrence</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>Survival Analysis</topic><topic>Treatment Outcome</topic><topic>Urinary Incontinence, Stress - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thakar, Ranee</creatorcontrib><creatorcontrib>Stanton, Stuart</creatorcontrib><creatorcontrib>Prodigalidad, Lisa</creatorcontrib><creatorcontrib>Boon, Jan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thakar, Ranee</au><au>Stanton, Stuart</au><au>Prodigalidad, Lisa</au><au>Boon, Jan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Secondary colposuspension: results of a prospective study from a tertiary referral centre</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2002-10</date><risdate>2002</risdate><volume>109</volume><issue>10</issue><spage>1115</spage><epage>1120</epage><pages>1115-1120</pages><issn>1470-0328</issn><eissn>1471-0528</eissn><abstract>Objective
To evaluate the results of secondary colposuspension in women with recurrent urinary stress incontinence.
Design
Prospective cross sectional observational study.
Setting
Tertiary referral urogynaecology unit.
Population
Fifty‐six women with recurrent stress incontinence.
Main outcome measures
Determine prognostic factors that may affect the outcome of surgery, long term subjective and objective success rates and identify complications of secondary colposuspension.
Results
The mean age was 54 years (range 34–83) and the median parity was 3 (range 1–5). The median length of follow up was four years (range 1.01–7.07). Forty‐two (75%) women had genuine stress incontinence and 14 (25%) had mixed incontinence on subtracted cystometry. The subjective cure rate was 71% and the objective cure rate was 80% and, as per Kaplan–Meier life time analysis, 65% had not failed surgery five years after the operation. The complication rate was low. However at follow up, eight women had required a posterior colporrhaphy for rectocele and three had a sacrocolpopexy for vault prolapse. Another eight women required further treatment for stress incontinence (seven urethral bulking agents and one tension‐free vaginal tape). There was no correlation of the outcome to age, past hysterectomy, number of previous incontinence procedures, parity, body mass index or blood loss at operation.
Conclusion
Colposuspension after failed continence surgery has a good outcome with a low complication rate, but many still require further surgery for prolapse.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>12387463</pmid><doi>10.1111/j.1471-0528.2002.01377.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | BJOG : an international journal of obstetrics and gynaecology, 2002-10, Vol.109 (10), p.1115-1120 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Blood Loss, Surgical Colposcopy - methods Cross-Sectional Studies Female Female genital diseases Follow-Up Studies Gynecology. Andrology. Obstetrics Humans Length of Stay Medical sciences Middle Aged Non tumoral diseases Prospective Studies Quality of Life Recurrence Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system Survival Analysis Treatment Outcome Urinary Incontinence, Stress - surgery |
| title | Secondary colposuspension: results of a prospective study from a tertiary referral centre |
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