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KMID : 0358319970380030289
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Korean Journal of Urology
1997 Volume.38 No. 3 p.289 ~ p.294
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Early Experience of the Transvaginal Burch Bladder Neck Suspension for Female Stress Urinary Incontinence
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Abstract
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Ever since Pereyra described needle suspension of the bladder neck as a form of surgical therapy for the treatment of stress urinary incontinence in women numerous modifications have been presented. Each of these modifications has helped to found
healthy anatomical and surgical principles that ensure patients safety, decrease morbidity and improve effectiveness. We had treated 8 patients of stress urinary incontinence with or without cystocele by transvaginal Burch procedure. By fixing
suspension sutures to the Cooper's ligament we expected to achieve a static suspension independent of everyday patients' activities. The duration of follow up was 3 months to 6 months. There were no serious operative complications. Incontinence
was
completely disappeared in 6 patients (75%) and significantly improved in 1 patient (12.5%), and failed in 1 patients(12.5%). Although the small number of patients and limited follow up, we believe that fixation of suspension sutures to the
Cooper's
ligament can favorably influence long-term results of treatment for female stress urinary incontinence.
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KEYWORD
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