title: Modified Raz operation backed with periurethral roll mesh in female stress urinary incontinence.
abstract: OBJECTIVE
  With the modifications that we made, the aim is to increase the effectiveness and the success rate of the Raz operation in the treatment of stress urinary incontinence (SUI) and to present a new approach in the treatment by reducing the complication rates.
  
  
  METHODS
  Between November 2002 and December 2010, the Raz operation that we modified with the changes such as the placement of cystostomy catheter with the Lowsley clamp, vaginal incision of the bilateral oblique, the placement of periurethral roll mesh, the use of a single 0-degree stamey needle instead of a double needle applicator, binding the sutures mutually and on the support of the polypropylene mesh in suprapubic region was performed to 81 female patients with SUI in lithotomy position under the regional anesthesia.
  
  
  RESULTS
  We performed the modified Raz operation to 81 female patients with SUI, who had the complaint of urinary incontinence with the effort lasting for about 4.5 years (between 1-16 years) and whose ages were 28-83 years (mean 55.2 years), childbirth numbers were 0-11 (mean 4.8), weights were 60-85 kg (mean 69.3 kg), and 32 of whom (39.5%) were of grade 1, 49 of whom (60.5%) were of grade 2 with the amnesia of SUI, and whose stress test was (+) in the physical examination. While the duration of the operation was 39.8 minutes (20-85 minutes) and the duration of the hospitalization was 2.9 days (2-4 days), the duration of the stay of the patients with the cystostomy catheter was determined to be 4.8 days (3-11 days). We found the rate of our success as 93.8% according to the objective criteria.
  
  
  CONCLUSIONS
  With the modifications that we made, we increased the success rate of the Raz operation and reduced the rates of the complication. We believe that the place of our modification method in incontinence surgery becomes more clearly with the comparison of the other anti-incontinence surgery techniques in patient groups with the same characteristics.
authors.affiliation: Department of Urology, Yuzuncu Yil University, Van, Turkey. necippirincci@hotmail.com
authors.forename: N
authors.initials: N
authors.lastname: Pirinççi
authors.forename: H
authors.initials: H
authors.lastname: Kamberoglu
authors.forename: C
authors.initials: C
authors.lastname: Kaya
authors.forename: M
authors.initials: M
authors.lastname: Kaba
authors.forename: I
authors.initials: I
authors.lastname: Geçit
authors.forename: M
authors.initials: M
authors.lastname: Guneş
authors.forename: K
authors.initials: K
authors.lastname: Ceylan
authors.forename: M I
authors.initials: MI
authors.lastname: Karaman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000765:Anesthesia, Conduction; D003559:Cystostomy; D005260:Female; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D010298:Parity; D056888:Patient Positioning; D011247:Pregnancy; D011474:Prosthesis Design; D012720:Severity of Illness Index; D053825:Suburethral Slings; D013526:Surgical Mesh; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome; D014546:Urinary Catheterization; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation*