Endoscopic vesicourethropexy for stress urinary incontinence Experience at the medical center hospital of vermont

Forty-eight women with stress urinary incontinence underwent endoscopic vesicourethropexy between December, 1978, and December, 1982, at the Medical Center Hospital of Vermont or its affiliates. Four patients were lost to follow-up within six weeks, and 44 patients were followed for four to forty-on...

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Published inUrology (Ridgewood, N.J.) Vol. 24; no. 6; pp. 577 - 579
Main Authors Fleischer, Alan N., Vinson, Robert K., Jumper, Brian
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.12.1984
Subjects
Abscess - etiology
Adult
Aged
Endoscopy
Female
Follow-Up Studies
Humans
Male
Middle Aged
Postoperative Complications - etiology
Suture Techniques
Urethra - surgery
Urinary Bladder - surgery
Urinary Catheterization
Urinary Incontinence, Stress - surgery
Urination Disorders - etiology
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Summary:Forty-eight women with stress urinary incontinence underwent endoscopic vesicourethropexy between December, 1978, and December, 1982, at the Medical Center Hospital of Vermont or its affiliates. Four patients were lost to follow-up within six weeks, and 44 patients were followed for four to forty-one months. The overall success rate was 79.2 per cent. Failures occurred as late as fourteen months. The major complication rate was 33.3 per cent. Major complications included suprapubic abscess formation and prolonged urinary retention for up to six months. Though an obviously effective therapy for the correction of stress urinary incontinence, our success with endoscopic vesicourethropexy is less than that generally reported. Further, the incidence and nature of postoperative complications in our series provoke a greater awareness of the potential shortcomings of this procedure.
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ISSN:0090-4295
1527-9995
DOI:10.1016/0090-4295(84)90105-5