[Colposuspension in treatment of female stress incontinence].
Colposuspension has emerged as the "golden standard" for the surgical treatment of female urinary incontinence. With a lateral and tangential approach for the placement of the sutures, the rate of obstructed micturition and de novo urgency is low. Success rates of 85% for primary and 70-75% for recurrent incontinence can be achieved. In competition with the tension-free vaginal tape (TVT) procedure, colposuspension will remain the first choice for all laparotomies necessitated by other pathologies, in cases of paravaginal herniation as the cause of prolapse, and in women with unstable bladders caused by anatomical defects. The endoscopic approach has not yet gained general acceptance.
Petri
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Frauenklinik, Klinikum der Landeshaupstadt, Wismarsche Strasse 397, 19049 Schwerin. profpetri@gmx.de
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D019919:Prosthesis Implantation; D012008:Recurrence; D012086:Reoperation; D013536:Suture Techniques; D013537:Sutures; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000601:surgery*; D014621:Vagina / Q000601:surgery
C014534:Ethibond; D011093:Polyethylene Terephthalates