Role of the four-corner bladder neck suspension to correct stress incontinence with a mild to moderate cystocele

Roger R. Dmochowski, Philippe E. Zimmern, K. Ganabathi, L. Sirls, Gary E. Leach

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)35-40
Number of pages6
JournalUrology
Volume49
Issue number1
DOIs
StatePublished - Jan 1997

Fingerprint

Cystocele
Suspensions
Urinary Bladder
Prolapse
Stress Urinary Incontinence
Patient Satisfaction
Physical Examination
Outcome Assessment (Health Care)
Urine

ASJC Scopus subject areas

  • Urology

Cite this

Role of the four-corner bladder neck suspension to correct stress incontinence with a mild to moderate cystocele. / Dmochowski, Roger R.; Zimmern, Philippe E.; Ganabathi, K.; Sirls, L.; Leach, Gary E.

In: Urology, Vol. 49, No. 1, 01.1997, p. 35-40.

Research output: Contribution to journalArticle

Dmochowski, Roger R. ; Zimmern, Philippe E. ; Ganabathi, K. ; Sirls, L. ; Leach, Gary E. / Role of the four-corner bladder neck suspension to correct stress incontinence with a mild to moderate cystocele. In: Urology. 1997 ; Vol. 49, No. 1. pp. 35-40.
@article{5bdf51970be1473ba59cca9ef6c9ccd6,
title = "Role of the four-corner bladder neck suspension to correct stress incontinence with a mild to moderate cystocele",
abstract = "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.",
author = "Dmochowski, {Roger R.} and Zimmern, {Philippe E.} and K. Ganabathi and L. Sirls and Leach, {Gary E.}",
year = "1997",
month = "1",
doi = "10.1016/S0090-4295(96)00357-3",
language = "English (US)",
volume = "49",
pages = "35--40",
journal = "Urology",
issn = "0090-4295",
publisher = "Elsevier Inc.",
number = "1",

}

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.

UR - http://www.scopus.com/inward/record.url?scp=0031028196&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031028196&partnerID=8YFLogxK

U2 - 10.1016/S0090-4295(96)00357-3

DO - 10.1016/S0090-4295(96)00357-3

M3 - Article

C2 - 9000182

AN - SCOPUS:0031028196

VL - 49

SP - 35

EP - 40

JO - Urology

JF - Urology

SN - 0090-4295

IS - 1

ER -