[Treatment of 282 cases of urinary stress incontinence by retropubic colpopexy to Cooper's ligaments].
282 patients have undergone colpopexy to cooper ligament: 184 patients with genital prolapse treatment by abdominal approach, 18 patients with total hysterectomy for bening disease, 80 patients without any surgical procedure. Clinical survey was completed, for some patients, especially for the fifteen second-hand patients, by uretrocolpocystogram and/or urodynamic explorations. Functional results are equal to other works and seem to little decrease at a five year's notice. 8.5% of patients have had urinary urgencies. Failures seem more related with wrong indication than wrong surgical technic. The use of urinary studies might achieve for the difficult cases a better selection of patients for surgery and improvement of results.
D001940:Breast; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008022:Ligaments / Q000601:surgery*; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics; D014596:Uterine Prolapse / Q000601:surgery; D014621:Vagina / Q000601:surgery*
Traitement de 282 cas d'incontinence urinaire d'effort par colpopexie rétro-pubienne aux ligaments de Cooper.