TY - JOUR
T1 - Role of the four-corner bladder neck suspension to correct stress incontinence with a mild to moderate cystocele
AU - Dmochowski, Roger R.
AU - Zimmern, Philippe E.
AU - Ganabathi, K.
AU - Sirls, L.
AU - Leach, Gary E.
PY - 1997/1
Y1 - 1997/1
N2 - Objectives. Women undergoing four-corner bladder neck suspension were evaluated for subjective and objective results of the procedure. Patients were evaluated for continence, prolapse, and symptomatic status postoperatively. Methods. Forty-seven women underwent four-corner bladder neck suspension for moderate cystocele with (44) or without (3) stress urinary incontinence. Mean and median follow-up were 37 months (range 15 to 80). To assess results of the four-corner bladder neck suspension, two sets of outcome measures were used (subjective questionnaire, including patient satisfaction, and objective physical examination, with standing voiding cystourethrogram) to compare pre- and postoperative data. Results. At the time of follow-up, 25 patients (53%) reported no incontinence, 14 (30%) reported one incontinent episode per week, and 8 (17%) reported daily loss of urine. Twenty-seven (57%) had grade 1 or grade II cystoceles on follow- up examination and voiding cystourethrogram; however, only 12 (26%) experienced recurrent prolapse symptomatology. Overall patient acceptance of the procedure was high (70%). Conclusions. The four-corner bladder neck suspension is an effective option in the management of moderate cystocele.
AB - Objectives. Women undergoing four-corner bladder neck suspension were evaluated for subjective and objective results of the procedure. Patients were evaluated for continence, prolapse, and symptomatic status postoperatively. Methods. Forty-seven women underwent four-corner bladder neck suspension for moderate cystocele with (44) or without (3) stress urinary incontinence. Mean and median follow-up were 37 months (range 15 to 80). To assess results of the four-corner bladder neck suspension, two sets of outcome measures were used (subjective questionnaire, including patient satisfaction, and objective physical examination, with standing voiding cystourethrogram) to compare pre- and postoperative data. Results. At the time of follow-up, 25 patients (53%) reported no incontinence, 14 (30%) reported one incontinent episode per week, and 8 (17%) reported daily loss of urine. Twenty-seven (57%) had grade 1 or grade II cystoceles on follow- up examination and voiding cystourethrogram; however, only 12 (26%) experienced recurrent prolapse symptomatology. Overall patient acceptance of the procedure was high (70%). Conclusions. The four-corner bladder neck suspension is an effective option in the management of moderate cystocele.
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U2 - 10.1016/S0090-4295(96)00357-3
DO - 10.1016/S0090-4295(96)00357-3
M3 - Article
C2 - 9000182
AN - SCOPUS:0031028196
SN - 0090-4295
VL - 49
SP - 35
EP - 40
JO - Urology
JF - Urology
IS - 1
ER -