[Stress urinary incontinence. Comparative study of suprapubic and vaginal surgical techniques].
We compared the results achieved by the suprapubic techniques of bladder neck suspension (Marshall-Marchetti-Krantz and Burch) and the vaginal techniques (Raz I and II) in 31 patients. Although no significant difference was observed in the results achieved, the vaginal techniques require a shorter operating time and hospitalization. There were 5 cases of inability to void (3 for the suprapubic and 2 for the vaginal techniques). The following complications were observed in the Burch colposuspension technique: 1 bladder fistula, 1 ureteral obstruction, 1 incisional hernia and 1 pulmonary embolism. We can conclude that although both techniques achieve good results, the vaginal techniques are easy to perform and require a shorter operating time and hospitalization.
Roca Edreira
A
A
Hospital Universitario Marqués de Valdecilla, Santander, España.
Gutiérrez Baños
J L
JL
Martín García
B
B
Hernández Rodríguez
R
R
Portillo Martín
J A
JA
Correas Gómez
M A
MA
Monge Mirallas
J M
JM
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011630:Pubic Bone; D013514:Surgical Procedures, Operative / Q000379:methods; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014621:Vagina
Incontinencia urinaria de esfuerzo. Estudio comparativo entre las técnicas quirúrgicas suprapúbicas y vaginales.