title: Modified retropubic cystourethropexy. II.
abstract: In 1986 we published a preliminary report describing a modification for bladder-neck suspension in the treatment of urinary stress incontinence. From 1982 through 1989 135 surgical procedures were performed. Long-term follow-up of these patients is now presented. Of the 135 patients in this study, 118 were available for follow-up at the time of this report; 108 (91.5%) of the 118 reported no urinary leakage. Of the 10 patients who reported continued urinary leakage, only 2 had persistent or recurrent urinary stress incontinence; they were reoperated on with favorable results. The other eight patients reporting urinary leakage were patients with mixed-cause urgency incontinence. The adjusted success rate for the treatment of genuine stress incontinence was therefore 98%.
authors.affiliation: Methodist Hospital of Southern California, Arcadia.
authors.forename: J A
authors.initials: JA
authors.lastname: Goodno
authors.forename: T W
authors.initials: TW
authors.lastname: Powers
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D013536:Suture Techniques; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*