Is diminished pubocervical fascia collagen content a risk factor for failure of surgical management of genuine stress urinary incontinence in women?

• Published in: European journal of obstetrics & gynecology and reproductive biology Vol. 102; no. 2; pp. 195 - 198
• Main Authors: Skorupski, Pawel, Rechberger, Tomasz, Postawski, Krzysztof, Woessner, J.Frederick, Jakowicki, Jerzy A.
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 10.05.2002; Elsevier
• Subjects: Biological and medical sciences; Cervix Uteri; Collagen; Collagen - analysis; Connective Tissue - chemistry; Fascia - chemistry; Female; Genuine stress urinary incontinence (GSUI); Humans; Medical sciences; Pubic Bone; Pubocervical fascia; Risk Factors; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the urinary system; Treatment Failure; Urinary Bladder - surgery; Urinary Incontinence, Stress - surgery; Genuine stress urinary incontinence (GSUI); Pubocervical fascia; Collagen; Human; Urinary system disease; Urinary tract disease; Uterine cervix; Metabolism; Result; Voiding dysfunction; Surgical suspension; Treatment; Surgery; Female; Influence; Pubis; Bladder disease; Fascia; Urinary stress incontinence
• ISSN: 0301-2115; 1872-7654
• DOI: 10.1016/S0301-2115(01)00587-5

Objective: The assessment of relationship between pubocervical collagen content and clinical results of surgical treatment of genuine stress urinary incontinence (GSUI) in women. Methods: Twenty-four women treated for genuine stress urinary incontinence were included into the study. All women underwent the same surgical procedure. The samples of pubocervical fascia were taken at the time of surgery. The contents of acid soluble, pepsin soluble, insoluble fraction of collagen, total collagen and collagen crosslinks were measured. The study of pubocervical fascia collagen metabolism included also estimation of collagenase activity. At follow-up done 5 years following surgery, 20 patients reported symptoms of GSUI (study group). Four women were still without symptoms of urine leakage (control group). Results: The biochemical parameters of pubocervical fascia did not show, statistically significant differences between compared groups. Conclusion: The pubocervical fascia collagen metabolism does not have impact on the results of anti-incontinence surgery.