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Comparison of three different surgical procedures for genuine stress incontinence: prospective randomized study.
Am J Obstet Gynecol. 1989 May; 160(5 Pt 1):1102-6.AJ

Abstract

One hundred seven consecutive patients with clinical and urodynamic findings of genuine stress incontinence not previously treated were prospectively allocated in a randomized manner to one of three surgical procedures: anterior colporrhaphy, revised Pereyra procedure, or Burch retropubic urethropexy. Randomization included the surgical procedure and choice of surgeon (one of the three authors). Clinical and urodynamic evaluations were repeated at 3 months and 1 year after surgery. Differences in cure rates among the three procedures at the 3-month postoperative evaluation were insignificant (82%, 84%, and 92% for the anterior colporrhaphy, Pereyra, and Burch respectively) but became statistically significant at the 1 year postoperative evaluation (cure rates of 65%, 72%, and 91% for the anterior colporrhaphy, Pereyra, and Burch respectively, p less than 0.05). In our hands the Burch procedure stabilized the urethrovesical junction and prevented its descent during straining (evaluated by a postoperative Q-tip test) more effectively than either the Pereyra or anterior colporrhaphy. No procedure resulted in severe postoperative voiding difficulties. The present prospective randomized study demonstrates that in our hands the abdominal retropubic operation for genuine stress incontinence in patients not previously operated on results in a higher cure rate when compared with anterior colporrhaphy or Pereyra procedure.

Authors+Show Affiliations

Gynecology-Urology Division, Women's Hospital, Los Angeles County--University of Southern California Medical Center 90033.No affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

2729386

Citation

Bergman, A, et al. "Comparison of Three Different Surgical Procedures for Genuine Stress Incontinence: Prospective Randomized Study." American Journal of Obstetrics and Gynecology, vol. 160, no. 5 Pt 1, 1989, pp. 1102-6.
Bergman A, Ballard CA, Koonings PP. Comparison of three different surgical procedures for genuine stress incontinence: prospective randomized study. Am J Obstet Gynecol. 1989;160(5 Pt 1):1102-6.
Bergman, A., Ballard, C. A., & Koonings, P. P. (1989). Comparison of three different surgical procedures for genuine stress incontinence: prospective randomized study. American Journal of Obstetrics and Gynecology, 160(5 Pt 1), 1102-6.
Bergman A, Ballard CA, Koonings PP. Comparison of Three Different Surgical Procedures for Genuine Stress Incontinence: Prospective Randomized Study. Am J Obstet Gynecol. 1989;160(5 Pt 1):1102-6. PubMed PMID: 2729386.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of three different surgical procedures for genuine stress incontinence: prospective randomized study. AU - Bergman,A, AU - Ballard,C A, AU - Koonings,P P, PY - 1989/5/1/pubmed PY - 1989/5/1/medline PY - 1989/5/1/entrez SP - 1102 EP - 6 JF - American journal of obstetrics and gynecology JO - Am J Obstet Gynecol VL - 160 IS - 5 Pt 1 N2 - One hundred seven consecutive patients with clinical and urodynamic findings of genuine stress incontinence not previously treated were prospectively allocated in a randomized manner to one of three surgical procedures: anterior colporrhaphy, revised Pereyra procedure, or Burch retropubic urethropexy. Randomization included the surgical procedure and choice of surgeon (one of the three authors). Clinical and urodynamic evaluations were repeated at 3 months and 1 year after surgery. Differences in cure rates among the three procedures at the 3-month postoperative evaluation were insignificant (82%, 84%, and 92% for the anterior colporrhaphy, Pereyra, and Burch respectively) but became statistically significant at the 1 year postoperative evaluation (cure rates of 65%, 72%, and 91% for the anterior colporrhaphy, Pereyra, and Burch respectively, p less than 0.05). In our hands the Burch procedure stabilized the urethrovesical junction and prevented its descent during straining (evaluated by a postoperative Q-tip test) more effectively than either the Pereyra or anterior colporrhaphy. No procedure resulted in severe postoperative voiding difficulties. The present prospective randomized study demonstrates that in our hands the abdominal retropubic operation for genuine stress incontinence in patients not previously operated on results in a higher cure rate when compared with anterior colporrhaphy or Pereyra procedure. SN - 0002-9378 UR - https://www.unboundmedicine.com/medline/citation/2729386/Comparison_of_three_different_surgical_procedures_for_genuine_stress_incontinence:_prospective_randomized_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/0002-9378(89)90169-5 DB - PRIME DP - Unbound Medicine ER -