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Eur J Obstet Gynecol Reprod Biol. 2003 Feb 10;106(2):179-83.

Analysis of retropubic colpourethrosuspension results by suburethral sling with REMEEX prosthesis.

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  • 1Urogynaecology Unit of Universitary Hospital of the Canaries, Department of Obstetric and Gynecology, Universitary Hospital of the Canaries, Avenida Marítima del Sur S/N, Las Palmas de Gran, Canaria, Spain. jgarciah@meditex.ex

Abstract

OBJECTIVE:

To describe the results after colpourethropexy with a REMEEX prosthesis in the treatment of stress urinary incontinence with associated genital prolapse.

MATERIALS AND METHODS:

A prospective analysis of all patients treated in our Urogynaecology Unit between November 2000 and March 2001.

RESULTS:

There were 29 patients with mean age of 62 and mean body mass index of 28. All but one patients had stress incontinence (genuine or mixed) associated with a genital prolapse. The other patient was a failed past technique (Marshall-Burch). Cystometry was performed in 80% of the patients. Of these 93% had genuine stress incontinence and 7% mixed incontinence. The average operating time was 119min (CI: 60-310), and the mean hospital stay 5 days (CI: 3-13). There was one case of severe haemorrhage during surgery, four cases of wall seroma and one postoperative urinary infection. Concerning patient satisfaction, 90% of our patients felt they were cured, 8% were much better and 2% had a slight improvement. No patient had a worsening of symptoms after surgery.

CONCLUSION:

We propose colpourethropexy by suburethral sling with a REMEEX prosthesis as suitable treatment for stress incontinence with associated genital prolapse.

PMID:
12551789
[PubMed - indexed for MEDLINE]
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