Język metadanych
Tytuł:
Autor:
Temat i słowa kluczowe:
open surgery ; Burch colposuspension ; urodynamic test ; laparoscopy ; urinary incontinence
Abstrakt:
The purpose of this study was to evaluate the clinical results of a laparoscopic Burch colposuspension with those of a classic Burch colposuspension, among women with stress urinary incontinence, using urodynamic testing. One hundred-eight women, between the ages of 34 and 78 with urodynamically diagnosed genuine stress incontinence, were recruited for the study. Fifty-one patients underwent a laparoscopy and fifty-seven had undergone a laparotomy. Follow-up was conducted at 18 months after the surgery. Urodynamic parameters, which were estimated prior to and after the transabdominal surgery, were found to be statistically significant - Qmax (<0.0062), FS (<0.0012). Stress tests after the procedure appeared to be without urine leak and with a correct bladder pressure. Urodynamic parameters of patients who underwent laparoscopy, and were found to be statistically significant prior to and after the procedure, were as follows - Qmax (<0.0001), Pain (>0.0415). As in the case of transabdominal surgery, stress tests following laparoscopy appeared to be without urine leak and with a correct bladder pressure. Mean operating time for laparoscopy was 53.13+6.20 minutes and 38.70+6.89 minutes (p<0.0001) for laparotomy. Mean blood loss was 94.60+40.32 ml and 154.82+50.68 ml, respectively (p<0.001). Wound infection, retropubic hematoma, dyspareunia, and thrombophlebitis were associated only ; with laparotomy. There was no bladder perforation in any of the groups. After a follow-up period of 18 months, the results of the two procedures were found to be comparable. However, laparoscopic approach is associated with a lower complication rate and a shorter hospital stay.
Miejsce wydania:
Stopień studiów:
Dyscyplina:
ginekologia ; urologia ; chirurgia