[Cervico-urethro-suspension by the Raz's technique in the treatment of stress urinary incontinence in women].
Presentation of our results in the treatment of urinary exertional incontinence in women using Raz's cervicourethral suspension. From January 1991 through December 1995, 87 patients were operated (mean age: 55.64 years; range 36-74). Mean follow-up was 29.4 months. Recovery from incontinence or permanence of minimal occasional leaks due to major exertion were rated as good results and were achieved in 75 cases (86.20%). Percentage of success in patients with mild incontinence was 93.33%; 88.88% in moderate incontinence; and 58.33% in severe incontinence, differences being statistically significant (p < 0.01). No statistical significance was found relative to age, prior incontinence corrective surgery, hysterectomy or association with urgency incontinence. Prior to surgery, 21 patients also had a component of urgency incontinence which disappeared post-surgery in 18 (85.71%) cases. De novo urgency incontinence appeared in 4 (6.06%) cases. Complications seen were 3 vesical perforations (3.44%). 1 urethrovaginal perforation (1.15%), 2 enterocele (3.44%) and 24 patients with transient urinary retention (27.58%). We believe this technique offers long-term successful results with a moderate morbidity rate.
Bono Ariño
A
A
Servicio de Urología, Hospital Miguel Servet, Zaragoza.
Rioja Sanz
C
C
Borque Fernando
A
A
Gonzalvo Ibarra
A
A
Villanueva Benedicto
A
A
Rioja Sanz
L A
LA
D000328:Adult; D000368:Aged; D002584:Cervix Uteri; D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D014521:Urethra; D014550:Urinary Incontinence, Stress / Q000601:surgery*