[Reinforced colposuspension (modified Cukier's operation). Immediate results, complications, indications].
In order to avoid mean term failures of colposuspension and short term obstructive complications of sling procedure, the author present a technique of urethropexy combining the two principles: reinforced colposuspension. A series of 67 consecutive procedures is subdivided in 45 stress incontinence and 22 incontinence with prolapse simultaneously treated by spinofixation. Continence is obtained in 97.6% and 91% respectively. Severe obstruction is observed in 3%, all of the first group. There is no infection due to this combined approach. The closure pressure remains similar or increases in 75% of the cases. Compared to others colposuspensions, this technique offers a conceptual advantage, without added morbidity. It is especially indicated when the closure pressure is low, the vaginal wall is weak, or when combined with a spinofixation.
Penders
L
L
Centre de Coloproctologie, clinique St Joseph, Liège.
Lombard
R
R
Jehaes
C
C
D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000503:physiopathology; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods; D014521:Urethra / Q000601:surgery*; D014549:Urinary Incontinence / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014555:Urination Disorders / Q000503:physiopathology; D014563:Urodynamics
La colposuspension renforcée (opération modifiée de Cukier). Résultats immédiats, complications, indications.