The burch colposuspension operation for stress urinary incontinence
One hundred and thirteen patients with genuine stress incontinence were treated by a modified Burch Colposuspension after having failed an adequate trial with medical management. Three-quarters of patients were evaluated with pre-operative video-cystometry (video-C.M.G.) while a third underwent post...
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| Veröffentlicht in: | Singapore medical journal 1990-06, Vol.31 (3), p.242-246 |
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| creator | LIM, P. H. C BROWN, A. D. G CHISHOLM, G. D |
| description | One hundred and thirteen patients with genuine stress incontinence were treated by a modified Burch Colposuspension after having failed an adequate trial with medical management. Three-quarters of patients were evaluated with pre-operative video-cystometry (video-C.M.G.) while a third underwent post-operative video-cystometry. Flow rates were generally lower after surgery with 3 of the 113 patients developing post-surgery bladder instability. Previous incontinence surgery and higher parity produced statistically a greater number of failures. The overall subjective success of the operation was 80% with another 12% improved at 2 years. A 5 year long-term questionnaire follow-up did not demonstrate marked changes in these figures. The operation itself carries a 16% incidence of significant early complications, while late complications totalled 23%, the latter being primarily minor conditions. Patients left hospital after an average of 10 days. |
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H. C ; BROWN, A. D. G ; CHISHOLM, G. D</creator><creatorcontrib>LIM, P. H. C ; BROWN, A. D. G ; CHISHOLM, G. D</creatorcontrib><description>One hundred and thirteen patients with genuine stress incontinence were treated by a modified Burch Colposuspension after having failed an adequate trial with medical management. Three-quarters of patients were evaluated with pre-operative video-cystometry (video-C.M.G.) while a third underwent post-operative video-cystometry. Flow rates were generally lower after surgery with 3 of the 113 patients developing post-surgery bladder instability. Previous incontinence surgery and higher parity produced statistically a greater number of failures. The overall subjective success of the operation was 80% with another 12% improved at 2 years. A 5 year long-term questionnaire follow-up did not demonstrate marked changes in these figures. The operation itself carries a 16% incidence of significant early complications, while late complications totalled 23%, the latter being primarily minor conditions. Patients left hospital after an average of 10 days.</description><identifier>ISSN: 0037-5675</identifier><identifier>PMID: 2203148</identifier><identifier>CODEN: SIMJA3</identifier><language>eng</language><publisher>Singapore: Singapore Medical Association</publisher><subject>Adult ; Biological and medical sciences ; Endoscopy ; Female ; Follow-Up Studies ; Humans ; Medical sciences ; Middle Aged ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the urinary system ; Suture Techniques ; Urethra - surgery ; Urinary Incontinence, Stress - surgery ; Vagina - surgery</subject><ispartof>Singapore medical journal, 1990-06, Vol.31 (3), p.242-246</ispartof><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5577953$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2203148$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LIM, P. H. C</creatorcontrib><creatorcontrib>BROWN, A. D. G</creatorcontrib><creatorcontrib>CHISHOLM, G. D</creatorcontrib><title>The burch colposuspension operation for stress urinary incontinence</title><title>Singapore medical journal</title><addtitle>Singapore Med J</addtitle><description>One hundred and thirteen patients with genuine stress incontinence were treated by a modified Burch Colposuspension after having failed an adequate trial with medical management. Three-quarters of patients were evaluated with pre-operative video-cystometry (video-C.M.G.) while a third underwent post-operative video-cystometry. Flow rates were generally lower after surgery with 3 of the 113 patients developing post-surgery bladder instability. Previous incontinence surgery and higher parity produced statistically a greater number of failures. The overall subjective success of the operation was 80% with another 12% improved at 2 years. A 5 year long-term questionnaire follow-up did not demonstrate marked changes in these figures. The operation itself carries a 16% incidence of significant early complications, while late complications totalled 23%, the latter being primarily minor conditions. Patients left hospital after an average of 10 days.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>Suture Techniques</subject><subject>Urethra - surgery</subject><subject>Urinary Incontinence, Stress - surgery</subject><subject>Vagina - surgery</subject><issn>0037-5675</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9j09LxDAUxHNQ1nX1Iwg9iLdCmuxrmqMU_8GCl_Vc0revbKRNal578NtbsXiagfkxzFyIrZTa5FAauBLXzJ9SKiOraiM2Skld7KutqI9nyto54TnD2I-RZx4psI8hiyMlN_26LqaMp0TM2Zx8cOk78wFjmHyggHQjLjvXM92uuhMfz0_H-jU_vL-81Y-HfCxATjkYazXaAk4EbWVcp_cEQE6VtrTYmdMyVrWWwO61NGSdbQGxxKJVCp2Reice_nrHFL9m4qkZPCP1vQsUZ26W_rKShVrAuxWc24FOzZj8sIxu1tdLfr_mjtH1XXIBPf9jAMZY0PoHpypf0Q</recordid><startdate>199006</startdate><enddate>199006</enddate><creator>LIM, P. H. C</creator><creator>BROWN, A. D. G</creator><creator>CHISHOLM, G. D</creator><general>Singapore Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199006</creationdate><title>The burch colposuspension operation for stress urinary incontinence</title><author>LIM, P. H. C ; BROWN, A. D. G ; CHISHOLM, G. D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p150t-57993c915de5b87af34e55ea26969cf7d0372b9e594307e9a9b5cc6c1b22ca703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>Suture Techniques</topic><topic>Urethra - surgery</topic><topic>Urinary Incontinence, Stress - surgery</topic><topic>Vagina - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LIM, P. H. C</creatorcontrib><creatorcontrib>BROWN, A. D. G</creatorcontrib><creatorcontrib>CHISHOLM, G. D</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>MEDLINE - Academic</collection><jtitle>Singapore medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LIM, P. H. C</au><au>BROWN, A. D. G</au><au>CHISHOLM, G. D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The burch colposuspension operation for stress urinary incontinence</atitle><jtitle>Singapore medical journal</jtitle><addtitle>Singapore Med J</addtitle><date>1990-06</date><risdate>1990</risdate><volume>31</volume><issue>3</issue><spage>242</spage><epage>246</epage><pages>242-246</pages><issn>0037-5675</issn><coden>SIMJA3</coden><abstract>One hundred and thirteen patients with genuine stress incontinence were treated by a modified Burch Colposuspension after having failed an adequate trial with medical management. Three-quarters of patients were evaluated with pre-operative video-cystometry (video-C.M.G.) while a third underwent post-operative video-cystometry. Flow rates were generally lower after surgery with 3 of the 113 patients developing post-surgery bladder instability. Previous incontinence surgery and higher parity produced statistically a greater number of failures. The overall subjective success of the operation was 80% with another 12% improved at 2 years. A 5 year long-term questionnaire follow-up did not demonstrate marked changes in these figures. The operation itself carries a 16% incidence of significant early complications, while late complications totalled 23%, the latter being primarily minor conditions. Patients left hospital after an average of 10 days.</abstract><cop>Singapore</cop><pub>Singapore Medical Association</pub><pmid>2203148</pmid><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0037-5675 |
| ispartof | Singapore medical journal, 1990-06, Vol.31 (3), p.242-246 |
| issn | 0037-5675 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79968012 |
| source | MEDLINE; EZB Electronic Journals Library |
| subjects | Adult Biological and medical sciences Endoscopy Female Follow-Up Studies Humans Medical sciences Middle Aged Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system Suture Techniques Urethra - surgery Urinary Incontinence, Stress - surgery Vagina - surgery |
| title | The burch colposuspension operation for stress urinary incontinence |
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