A modified Raz bladder neck suspension operation. Results of a one to three years follow-up investigation.
OBJECTIVE
Long term follow-up study of stress incontinence operations shows a declining success rate in time, especially for the needle suspension technique. We evaluated the long term results of a modified bladder neck suspension operation.


METHODS
From 01-12-87 till 01-12-89 a total of 42 modified Raz bladder neck suspensions for stress incontinence were performed. Early evaluation at three months had shown a cure rate of 93%. Long term (mean 27 months) results were evaluated using a questionnaire.


RESULTS
Follow-up of 41 patients showed that ten patients (24%) were cured. Fourteen (34%) considered their situation improved and acceptable, despite mild incontinence. Seventeen patients (40%) considered their situation still unacceptable, half of them (nine patients, 21%) had another operation for incontinence done within two years.


CONCLUSIONS
We conclude that this one to three years follow-up shows that the modified Raz bladder neck suspension, in our hands, has, in spite of a good short term result, a relatively low long term success rate.
Department of Obstetrics and Gynecology, University Hospital Dijkzigt, Rotterdam, The Netherlands.
G
G
Bosman
M E
ME
Vierhout
F J
FJ
Huikeshoven
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D013514:Surgical Procedures, Operative / Q000379:methods; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*