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Abdominal urethrocystopexy using fibrin sealant. A prospective study of long-term efficacy
Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
2000 (English)In: International Urogynecology Journal, ISSN 0937-3462, E-ISSN 1433-3023, Vol. 11, no 2, 93-96 p.Article in journal (Refereed) Published
Abstract [en]

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 Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-26001DOI: 10.1007/s001920050077Local ID: 10453OAI: oai:DiVA.org:liu-26001DiVA: diva2:246549
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2017-12-13

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Kjölhede, Preben

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Faculty of Health SciencesObstetrics and gynecologyDepartment of Surgery in Östergötland
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