Abdominal urethrocystopexy using fibrin sealant. A prospective study of long-term efficacy
2000 (English)In: International Urogynecology Journal, ISSN 0937-3462, Vol. 11, no 2, 93-96 p.Article in journal (Refereed) Published
Over the past decade efforts have been made to develop less invasive surgical treatment for female stress urinary incontinence (SUI). Abdominal urethrocystopexy with fibrin sealant combined with a couple of absorbable sutures has previously been reported as a promising method. This prospective observational study was aimed at evaluating the efficacy and safety of abdominal urethrocystopexy through a minilaparotomy using solely fibrin sealant (Tisseel) as the fixation glue. Forty-three women with objectively proven SUI were operated upon with this method. The subjective cure rates at 1 and 3 years' follow-up were 72% and 55%, respectively. The corresponding objective cure rates were 64% and 60%. No serious major operative complications occurred. One patient had transient urinary retention for 3 months. Otherwise, micturition was established within a median 1 day (range 1-3 days) after the operation. The result of this pilot study indicates a cure rate lower than that obtained with the conventional abdominal Burch colposuspension. Thus the method cannot be recommended as a standard procedure for treatment of SUI.
Place, publisher, year, edition, pages
2000. Vol. 11, no 2, 93-96 p.
National CategoryMedical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-26001DOI: 10.1007/s001920050077Local ID: 10453OAI: oai:DiVA.org:liu-26001DiVA: diva2:246549