Transvaginal bladder neck suspension to Cooper's ligament: a review of the literature.
The aim of this paper was to review the surgical technique and clinical experience of transvaginal bladder neck suspension to Cooper's ligament. A computerized MEDLINE search identified five English-language articles published between January 1990 and December 1998. The success rate obtained with this procedure is comparable to that obtained with the traditional Burch procedure and ranges between 86.4% and 100%. Postoperative de novo detrusor instability occurs infrequently, with an incidence ranging between 0% and 20%. Complications occur infrequently and postoperative voiding dysfunction is rare. Limited postoperative urodynamic data are available. Transvaginal suspension of the bladder neck to Cooper's ligament combines the technique of a needle suspension with the anatomic effect of the Burch procedure.
Nguyen
J K
JK
Harbor-UCLA Medical Center, UCLA School of Medicine, Torrance, California 90509, USA.
Hall
C D
CD
Bhatia
N N
NN
D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000453:epidemiology; D013536:Suture Techniques; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics