title: [Simplified Ramírez urethropexy in the treatment of genuine stress urinary incontinence in women. Multicenter study of clinical and urodynamic results].
abstract: OBJECTIVE
  To evaluate the clinical and urodynamic data of a multicenter study on female urinary stress incontinence undergoing surgical repair with the Ramírez simplified urethropexy.
  
  
  METHODS
  Clinical, urodynamic and videocystographic data were analyzed in a multicenter series of 340 female patients with urinary stress incontinence (mean age 51.7 +/- 9.7 years) before and after the Ramírez urethropexy technique (mean follow-up 21.7 months).
  
  
  RESULTS
  Post surgical urinary continence was 78.4%. Cystocele repair was demonstrated in 57.7%. Urge incontinence decreased in 17.1%. Daytime frequency statistically significantly decreased in 19%. Urinary obstructive symptoms increased in 19.3%. Bladder instability significantly decreased posturethropexy. Peak urinary flow rate and mean urinary flow rate diminished in 65% and 59%, respectively. Postvoiding residual urine increased significantly. No statistical correlation between posturethropexy continence and videocystographic bladder neck morphology was observed.
  
  
  CONCLUSIONS
  The clinical and urodynamic data obtained in our series indicate that the Ramírez urethropexy technique, a simple and fast procedure, may be considered an alternative treatment in female urinary stress incontinence.
authors.affiliation: 1 Hospital Clínico Universitario San Carlos, Madrid, España.
authors.forename: J C
authors.initials: JC
authors.lastname: Ramírez Fernández
authors.forename: M E
authors.initials: ME
authors.lastname: Fuertes
authors.forename: J
authors.initials: J
authors.lastname: Salinas Casado
authors.forename: L
authors.initials: L
authors.lastname: Resel Estévez
authors.forename: M
authors.initials: M
authors.lastname: Sánchez Chapado
authors.forename: M
authors.initials: M
authors.lastname: Guil Cid
authors.forename: F
authors.initials: F
authors.lastname: Rodríguez De Bethancourt Codes
authors.forename: L
authors.initials: L
authors.lastname: Prieto Chaparro
authors.forename: G
authors.initials: G
authors.lastname: Shahrour
authors.forename: R
authors.initials: R
authors.lastname: Ocete Ocete
authors.forename: G
authors.initials: G
authors.lastname: Escribano Patiño
authors.forename: F
authors.initials: F
authors.lastname: González Chamorro
authors.forename: C
authors.initials: C
authors.lastname: Hernández Fernández
authors.forename: A
authors.initials: A
authors.lastname: Diego García
authors.forename: L
authors.initials: L
authors.lastname: Martín Rodríguez
authors.forename: J A
authors.initials: JA
authors.lastname: Rodríguez García
authors.forename: E
authors.initials: E
authors.lastname: Sánchez Blasco
authors.forename: A
authors.initials: A
authors.lastname: Rodríguez Torres
authors.forename: M
authors.initials: M
authors.lastname: Rapariz González
authors.forename: S I
authors.initials: SI
authors.lastname: Martínez de la Riva
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D014550:Urinary Incontinence, Stress / Q000503:physiopathology* / Q000601:surgery*; D014563:Urodynamics