April 4th, 2020

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Genuine Stress Urinary Incontinence in Women: New Laparoscopic Paravaginal Reconstruction
Authors:  Adam Ostrzenski, M.D., Ph.D.
  OBJECTIVE: To assess a new laparoscopic technique of paravaginal repair, adapted from a classic laparotomy procedure, for genuine stress urinary incontinence.

STUDY DESIGN: From January 1992 to July 1997, 28 patients in a consecutive, prospective clinical case study were subjected to
laparoscopic paravaginal repair. No concomitant surgery was performed. A clinical diagnosis of genuine stress urinary incontinence was documented by cystometry following a positive cough stress test. When indicated, a multichannel urodynamics study was performed.

RESULTS: In 16 patients (57%) of 28, the right pelvic side was affected, and in 43% fascia damage was identified and repaired bilaterally. The average operative time was 2 hours, 45 minutes; average blood loss was 1.2 g hemoglobin. No intraoperative, immediate postoperative, delayed postoperative or anesthesia-associated complications were observed. Patients were discharged from the surgical units in an average of 5 hours, 15 minutes. There was no postoperative hospital readmission.

CONCLUSION: Laparoscopic paravaginal repair is simple and safe and has a 93% cure rate. It is an attractive alternative to laparotomy. (J Reprod Med 1998;43:477-482)
Keywords:  urinary incontinence, stress; laparoscopic surgery; bladder diseases
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