Should Burch colposuspension be replaced by fibrin glue colpofixation in women with urinary stress incontinence?
There are lots of articles recently concerning a very successful fibrin glue colpofixation used in treating stress urinary incontinence (SUI) instead of sutures according to Burch colposuspension [6, 5, 4]. Being in doubt about each modification of the original Burch surgery method, in spite of reported good results, I have decided to explain my own opinion concerning this problem. According to recent knowledge of the lower urinary tract anatomy, described by DeLancey and S. Raz [3, 11], supporting factors of the vesical neck as a part of the continence mechanism in women is more understandable.
Jolic
V
V
General Hospital Slovenj Gradec, Dept. of Obstetrics and Gynecology, Slovenj Gradec, Slovenia.
D005260:Female; D015718:Fibrin Tissue Adhesive / Q000008:administration & dosage*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D013536:Suture Techniques; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014621:Vagina / Q000601:surgery
D015718:Fibrin Tissue Adhesive