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Comparison of laparoscopic and open retropubic urethropexy for treatment of stress urinary incontinence.

Publication ,  Journal Article
Polascik, TJ; Moore, RG; Rosenberg, MT; Kavoussi, LR
Published in: Urology
April 1995

OBJECTIVES: Laparoscopic retropubic urethropexy has recently been described as an alternative method to the surgical correction of pure stress urinary incontinence. This study compares the operative technique and results of laparoscopic colposuspension with traditional open Burch urethropexy to treat women with stress urinary incontinence. METHODS: We assessed the short-term results of 12 women who underwent a modified laparoscopic Burch urethropexy for the correction of stress urinary incontinence and compared these with a similar contemporary group of 10 women who underwent a traditional open Burch colposuspension procedure. RESULTS: Ten women (83%) who underwent the laparoscopic procedure are continent with a mean follow-up of 20.8 months, and 7 women (70%) who had an open Burch colposuspension are continent at a mean follow-up of 35.6 months. The laparoscopic procedure took an average of 1.5 hours longer than the open repair (P < 0.01). Patients who underwent the laparoscopic urethropexy required less postoperative analgesia (mean, 14.2 mg morphine equivalents versus 131.4 mg; P < 0.01), shorter length of hospitalization (mean, 1.9 days versus 4.9 days; P < 0.01), and a more expedient return to normal activity when compared with those who underwent open Burch colposuspension. CONCLUSIONS: Laparoscopic bladder neck suspension offers a less invasive approach to the surgical correction of stress urinary incontinence and can provide successful outcomes in properly selected patients.

Duke Scholars

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Published In

Urology

DOI

ISSN

0090-4295

Publication Date

April 1995

Volume

45

Issue

4

Start / End Page

647 / 652

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urinary Incontinence, Stress
  • Urethra
  • Retrospective Studies
  • Middle Aged
  • Laparoscopy
  • Humans
  • Follow-Up Studies
  • Female
  • 3202 Clinical sciences
 

Citation

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Polascik, T. J., Moore, R. G., Rosenberg, M. T., & Kavoussi, L. R. (1995). Comparison of laparoscopic and open retropubic urethropexy for treatment of stress urinary incontinence. Urology, 45(4), 647–652. https://doi.org/10.1016/S0090-4295(99)80057-0
Polascik, T. J., R. G. Moore, M. T. Rosenberg, and L. R. Kavoussi. “Comparison of laparoscopic and open retropubic urethropexy for treatment of stress urinary incontinence.Urology 45, no. 4 (April 1995): 647–52. https://doi.org/10.1016/S0090-4295(99)80057-0.
Polascik TJ, Moore RG, Rosenberg MT, Kavoussi LR. Comparison of laparoscopic and open retropubic urethropexy for treatment of stress urinary incontinence. Urology. 1995 Apr;45(4):647–52.
Polascik, T. J., et al. “Comparison of laparoscopic and open retropubic urethropexy for treatment of stress urinary incontinence.Urology, vol. 45, no. 4, Apr. 1995, pp. 647–52. Pubmed, doi:10.1016/S0090-4295(99)80057-0.
Polascik TJ, Moore RG, Rosenberg MT, Kavoussi LR. Comparison of laparoscopic and open retropubic urethropexy for treatment of stress urinary incontinence. Urology. 1995 Apr;45(4):647–652.
Journal cover image

Published In

Urology

DOI

ISSN

0090-4295

Publication Date

April 1995

Volume

45

Issue

4

Start / End Page

647 / 652

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urinary Incontinence, Stress
  • Urethra
  • Retrospective Studies
  • Middle Aged
  • Laparoscopy
  • Humans
  • Follow-Up Studies
  • Female
  • 3202 Clinical sciences