[Treatment of stress urinary incontinence by the Raz vaginal colpopexy].

Abstract

In this study we present our experience from the application of the bladder neck suspension as modified by Raz on 37 patients. All patients had severe genuine stress incontinence. Twenty of them had undergone previous surgery for the same problem, and 16 patients had had a previous hysterectomy. In addition 15 patients had a small cystocele. In all cases, the Raz procedure was performed by the same surgical team. The follow-up ranged from 8-32 months (mean follow-up 15.4). The overall success rate was 86.5%. Patients with no history of previous surgery and all patients with cystocele were cured. The 5 failures occurred in patients with previous surgery and hysterectomy. The complications were few. It is concluded that the Raz bladder neck suspension is a safe and effective method for the treatment of stress incontinence, especially in cases with cystocele or failure after primary treatment.

• Authors: C Deliveliotis, D Picramenos, C Macrichoritis, G Koutsokalis, K Alexopoulou, A Kostakopoulos
• Journal: Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie (Prog Urol) Vol. 4 Issue 6 Pg. 974-6 (Dec 1994) ISSN: 1166-7087 [Print] France
• Vernacular Title: Traitement de l'incontinence urinaire d'effort par colpopexie vaginale selon Raz.
• PMID: 7874185 (Publication Type: Clinical Trial, English Abstract, Journal Article)

Topics

• Female
• Follow-Up Studies
• Humans
• Middle Aged
• Reoperation
• Treatment Outcome
• Urinary Bladder (surgery)
• Urinary Bladder Diseases (complications)
• Urinary Incontinence, Stress (etiology, surgery)
• Vagina (surgery)