title: [The pubococcygeus patch--a method for correction of female stress incontinence in simultaneous prolapse].
abstract: The pubococcygeus patch procedure is introduced as a vaginal method for treatment of severe stress urinary incontinence of the female in combination with a marked descensus requiring vaginal surgery. It is based on physiological conceptions of urethral closure mechanisms. The primary success rate in 47 women with severe stress-urinary incontinence was 85% after 3-6 months, and 60% in women with hypotonic urethra (< 30 cm H2O). The complication rate was low. The material used for the patch was lyodura (n = 43) and gore-tex (n = 4), the latter showing a 50% repulsion rate.
authors.affiliation: Universitäts-Frauenklinik Freiburg.
authors.forename: G
authors.initials: G
authors.lastname: de Gregorio
authors.forename: D
authors.initials: D
authors.lastname: Emmerich
authors.forename: H G
authors.initials: HG
authors.lastname: Hillemanns
authors.forename: A
authors.initials: A
authors.lastname: Pfleiderer
mesh_terms: D000328:Adult; D000368:Aged; D003094:Collagen; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000601:surgery; D019736:Prostheses and Implants; D012008:Recurrence; D012086:Reoperation; D013536:Suture Techniques; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics / Q000502:physiology; D014596:Uterine Prolapse / Q000601:surgery*
chemical_list: C032281:Lyodura; D011138:Polytetrafluoroethylene; D003094:Collagen
vernacular_title: Der Pubococcygeus-Patch--eine Methode zur Korrektur der weiblichen Stressinkontinenz bei gleichzeitig bestehendem Deszensus.