Role of the four-corner bladder neck suspension to correct stress incontinence with a mild to moderate cystocele
Women undergoing four-corner bladder neck suspension were evaluated for subjective and objective results of the procedure. Patients were evaluated for continence, prolapse, and symptomatic status postoperatively. Forty-seven women underwent four-corner bladder neck suspension for moderate cystocele...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 1997, Vol.49 (1), p.35-40 |
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| container_title | Urology (Ridgewood, N.J.) |
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| creator | Dmochowski, Roger R. Zimmern, Philippe E. Ganabathi, K. Sirls, L. Leach, Gary E. |
| description | Women undergoing four-corner bladder neck suspension were evaluated for subjective and objective results of the procedure. Patients were evaluated for continence, prolapse, and symptomatic status postoperatively.
Forty-seven women underwent four-corner bladder neck suspension for moderate cystocele with (44) or without (3) stress urinary incontinence. Mean and median follow-up were 37 months (range 15 to 80). To assess results of the four-corner bladder neck suspension, two sets of outcome measures were used (subjective questionnaire, including patient satisfaction, and objective physical examination, with standing voiding cystourethrogram) to compare pre- and postoperative data.
At the time of follow-up, 25 patients (53%) reported no incontinence, 14 (30%) reported one incontinent episode per week, and 8 (17%) reported daily loss of urine. Twenty-seven (57%) had grade I or grade II cystoceles on follow-up examination and voiding cystourethrogram; however, only 12 (26%) experienced recurrent prolapse symptomatology. Overall patient acceptance of the procedure was high (70%).
The four-corner bladder neck suspension is an effective option in the management of moderate cystocele. |
| doi_str_mv | 10.1016/S0090-4295(96)00357-3 |
| format | Article |
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Forty-seven women underwent four-corner bladder neck suspension for moderate cystocele with (44) or without (3) stress urinary incontinence. Mean and median follow-up were 37 months (range 15 to 80). To assess results of the four-corner bladder neck suspension, two sets of outcome measures were used (subjective questionnaire, including patient satisfaction, and objective physical examination, with standing voiding cystourethrogram) to compare pre- and postoperative data.
At the time of follow-up, 25 patients (53%) reported no incontinence, 14 (30%) reported one incontinent episode per week, and 8 (17%) reported daily loss of urine. Twenty-seven (57%) had grade I or grade II cystoceles on follow-up examination and voiding cystourethrogram; however, only 12 (26%) experienced recurrent prolapse symptomatology. Overall patient acceptance of the procedure was high (70%).
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Forty-seven women underwent four-corner bladder neck suspension for moderate cystocele with (44) or without (3) stress urinary incontinence. Mean and median follow-up were 37 months (range 15 to 80). To assess results of the four-corner bladder neck suspension, two sets of outcome measures were used (subjective questionnaire, including patient satisfaction, and objective physical examination, with standing voiding cystourethrogram) to compare pre- and postoperative data.
At the time of follow-up, 25 patients (53%) reported no incontinence, 14 (30%) reported one incontinent episode per week, and 8 (17%) reported daily loss of urine. Twenty-seven (57%) had grade I or grade II cystoceles on follow-up examination and voiding cystourethrogram; however, only 12 (26%) experienced recurrent prolapse symptomatology. Overall patient acceptance of the procedure was high (70%).
The four-corner bladder neck suspension is an effective option in the management of moderate cystocele.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patient Satisfaction</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>Sutures</subject><subject>Urinary Bladder Diseases - complications</subject><subject>Urinary Bladder Diseases - therapy</subject><subject>Urinary Incontinence, Stress - complications</subject><subject>Urinary Incontinence, Stress - therapy</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEuLFDEQgIMo67j6ExZyENFDa9KZJJ2TyOILFgQf55BOqtlodzKm0sr-e9M7w1w9VUF99foIueLsNWdcvfnGmGHdvjfypVGvGBNSd-IB2XHZ684YIx-S3Rl5TJ4g_mSMKaX0BbkwLeVDvyOHr3kGmidab4FOeS2dzyVBoePsQmgxgf9FccUDJIw50ZppIwr4SrEWQKQx-ZxqTJA80L-x3lJHlziHDV1ym-EqUH-HNXuY4Sl5NLkZ4dkpXpIfH95_v_7U3Xz5-Pn63U3nxWBqJ8Fp58ye9VL2clSTnzTIAfzUC7UXcnRCCh3CwKQepA-j0aMSIAQP3HknxCV5cZx7KPn3CljtErEdMLsEeUWrB61NL1UD5RH0JSMWmOyhxMWVO8uZ3Uzbe9N202iNsvem7bbg6rRgHRcI566T2lZ_fqo79G6eiks-4hlrf8mB64a9PWLQZPyJUCz6uKkMcZNsQ47_OeQfoVqcDQ</recordid><startdate>1997</startdate><enddate>1997</enddate><creator>Dmochowski, Roger R.</creator><creator>Zimmern, Philippe E.</creator><creator>Ganabathi, K.</creator><creator>Sirls, L.</creator><creator>Leach, Gary E.</creator><general>Elsevier Inc</general><general>Elsevier Science</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>1997</creationdate><title>Role of the four-corner bladder neck suspension to correct stress incontinence with a mild to moderate cystocele</title><author>Dmochowski, Roger R. ; Zimmern, Philippe E. ; Ganabathi, K. ; Sirls, L. ; Leach, Gary E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-5ea7aa94025525b6fcf7e58ecf236435ba3537dd805785cdb97b63e331d1aca33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patient Satisfaction</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>Sutures</topic><topic>Urinary Bladder Diseases - complications</topic><topic>Urinary Bladder Diseases - therapy</topic><topic>Urinary Incontinence, Stress - complications</topic><topic>Urinary Incontinence, Stress - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dmochowski, Roger R.</creatorcontrib><creatorcontrib>Zimmern, Philippe E.</creatorcontrib><creatorcontrib>Ganabathi, K.</creatorcontrib><creatorcontrib>Sirls, L.</creatorcontrib><creatorcontrib>Leach, Gary E.</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>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dmochowski, Roger R.</au><au>Zimmern, Philippe E.</au><au>Ganabathi, K.</au><au>Sirls, L.</au><au>Leach, Gary E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of the four-corner bladder neck suspension to correct stress incontinence with a mild to moderate cystocele</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>1997</date><risdate>1997</risdate><volume>49</volume><issue>1</issue><spage>35</spage><epage>40</epage><pages>35-40</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>Women undergoing four-corner bladder neck suspension were evaluated for subjective and objective results of the procedure. Patients were evaluated for continence, prolapse, and symptomatic status postoperatively.
Forty-seven women underwent four-corner bladder neck suspension for moderate cystocele with (44) or without (3) stress urinary incontinence. Mean and median follow-up were 37 months (range 15 to 80). To assess results of the four-corner bladder neck suspension, two sets of outcome measures were used (subjective questionnaire, including patient satisfaction, and objective physical examination, with standing voiding cystourethrogram) to compare pre- and postoperative data.
At the time of follow-up, 25 patients (53%) reported no incontinence, 14 (30%) reported one incontinent episode per week, and 8 (17%) reported daily loss of urine. Twenty-seven (57%) had grade I or grade II cystoceles on follow-up examination and voiding cystourethrogram; however, only 12 (26%) experienced recurrent prolapse symptomatology. Overall patient acceptance of the procedure was high (70%).
The four-corner bladder neck suspension is an effective option in the management of moderate cystocele.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9000182</pmid><doi>10.1016/S0090-4295(96)00357-3</doi><tpages>6</tpages></addata></record> |
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| ispartof | Urology (Ridgewood, N.J.), 1997, Vol.49 (1), p.35-40 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Female Follow-Up Studies Humans Medical sciences Middle Aged Patient Satisfaction Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system Sutures Urinary Bladder Diseases - complications Urinary Bladder Diseases - therapy Urinary Incontinence, Stress - complications Urinary Incontinence, Stress - therapy |
| title | Role of the four-corner bladder neck suspension to correct stress incontinence with a mild to moderate cystocele |
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