You are here

Home » Content

Polypropylen Mesh ve Endotacker Kullanılarak Yapılan Laparoskopik Ekstra peritoneal Burch Kolposüspansiyonun Uzun Dönem Sonuçlan

Long-Term Results Of Laparoscopically Extraperitoneal Burch Colposuspension With Use Polypropylen Mesh And Endotacker Instrument

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2000

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Objective: We aim to present long-term success rate of laparoscopic extraperitoneal Burch colposuspension with use polypropylen mesh and endotacker imminent. Study Design: Total 22 laparoscopic extraperitoneal Burch colposuspension operation was done in our clinic between 1996 and 1998 years. In 2001 years, we reviewed success rate of operation at third month of postoperative, at 12. month, at 24. month and 48. month of postoperative period in terms of stress incontinance. Data from study were examined carefully with guide of literature. Findings: In total 22 patients, success rate of operation at third month , 12.month and 24. month of postoperative period were 95.4%, 71.8% and 71.8%, respectively. Mean follow-up time was approximately 50 months. Long-term success rate was 77.3%. There was a statistical significant difference between early term and long-term results (p<0.05). Only one patient has detrusor instability who successfully treated with oxybutinin. Conclusion: Although early period of succes rate of Laparoscopic exraperitoneal retropubic colposuspension has high, long term sucress rate was not enough to relief symtoms, Therefore, we thinks to review of etiologic Factors, sureical technic and postoperative rehabilitation measures are the most important Factor to decresse of failure of operation.
Bookmark/Search this post with
Abstract (Original Language): 
Amaç: Polypropylen mesh ve tacker kullanılarak yapılan laparoskopik ekstraperitoneal retropubik kolposüspansiyon operasyonunun geç dönem sonuçlarını sunmak. Çalışma Deseni: 1996-1998 yılları arasında kliniğimizde yapılan 22 adet laparoskopik kolposüspansiyon operasyonun postoperatif 3. ay, 12. ay, 24. ay ve 48. ayda inkontınans sonuçları 2001 yılında yeniden değerlendirildi. Elde edilen veriler literatür ışığında sunuldu. Bulgular: Toplam 22 hastanın 3.ay haşarı oranı %95.4, 12. ayda %81.8, 24. ay haşarı oranı %81.8 ve ortalama 50. ay başarı oranı %77.3 idi. Erken doneni başarı ile uzun dönem başarı oranı arasındaki fark istatistiksel olarak anlamlı idi (p<0.05). Yalnızca bir hastada detrusor instabilitesi tespit edildi. Sonuç: Laparoskopik ekstraperitoneal retropubik kolposuspansion operasyonunun erken dönem sonuçları oldukça başarılı olmasına karşın, uzun dönem sonuçları yeterince başarılı değildir. Bu nedenle etyolojinin, tekniğinin ve postoperatif iyileşmeye katkıda bulunacak faktörlerin gözden geçirilmesi uygun olur düşüncesindeyiz.
FULL TEXT (PDF): 
PDF icon arastirmax-polypropylen-mesh-endotacker-kullanilarak-yapilan-laparoskopik-ekstra-peritoneal-burch-kolposuspansiyonun-uzun-donem-sonuclan.pdf
  • 3
1-4
  • Turkish

REFERENCES

References: 

1. Robertson JR, Hebert DB: Gynecological Urology. İn: Current Obstetric and Gynecologic Treatment 7th Edition, Pernol ML. Applenton and Lange 1991; 41:851-865.
2. Thompson JD, Wall LL, Growdon WA, Ridley JH: Urrinary Stress Incontinence. In. Te Linde's Operative Gynecology Thompson, Rock J A 7th Edition. JB. Lippincott Company. 1992; 887¬935.
3
Polypropylen Mesh ve Endotacker Kullanılarak Yapılan /Aydoğmuş, Kelekci, Aydın ve ark.
3. Synde JA, Lipsitz DU: Evaluation of female stress incontinence. Urol. Clin North Am. 199; 118: 197-209.
4. Burgio K, Matheus KA, Engel BT: Prevalence, incidence and corelates of urinary incontinence in healty, middle aged women J. Urol. 1991; 146: 1255-1258.
5. Eriksen BC, Heagen B. Longterm effectiveness of the Burch colposuspension in female stress incontinence. Acta Obstet Gynecol Scand. 1990; 69: 44-49.
6. Bergman A, Ella G. Three surgical procedure for genuine stress incontinence, five years follow up: a prospective randomized study. Am. J. Obstet Gynecol. 1995; 173: 66-71.
7. Polascik TJ, Moore RG, Rosenberg MT, Ko-voussi LR. Comparasion of laparoskopik and open retropubic urethropexy for treatment of stress urinary incontinence. Urology. 1995;45:647-652.
8. Spencer JR, O! 'connor VJ, and Schaeffer AJ. A comparision of endoscopic suspension of the vesical with suprapubic vesicourethro-pexy for the treatment of stress incontinence. J. Urol. 1987; 137: 411-415.
9. Fleisher AN, Vinston RK, Jumper B. Endosko-pik vesicourethropexy for stress urinary incontinence. Urology. 1984; 24:577-579.
10. Satki D, Keith JP: Laparoscopic Colposuspension. J. Urol, 1995; 154: 1119-1121.
11. Toukhy TA, Davies AE. The efficacy of laparoscopic mesh colposuspension: results of a prospective controlled study. BJU hit 2001; 88: 361-366.
12. Valent P, D'Asconzo R. Colposuspension with pro py len mesh. A new technique for correction of urinary stress incontinence. Minerva UrolNefrol. 1998; 50: 271-275.
13.
Demirci F, Yücel O, Eren S, Alkan A, Demirci E, Yıldırım U. Long-term results of Burch colposuspension. Gynecol Obstet Invest. 51: 243¬247, 2001.
14.
Mutlu N, Kazado M, Çulha M, Merder E, Baykal M, Canbazoğlu N. Burch bladder nech colposuspension, comparison of early and late results. Mater Med Pol. 1997; 29: 8-10.
15. Dietz HP, Wilson PD. Colposuspension success and failure: a long-term objective follow-up study, hit Urogynecol J Pelvic Floor Dysfunct. 2000;51:346-354.
16. Lobe/ RW, Davis GD. Long-term results of laparoskopic Burch urethropexy. J Am Assoc Gynecol Laparosc. 1997; 43:341-347.
17. Akpınar H, Çetine! B, Demirkesen O, Tüfek F, Yaycıoğlu O, Solok V. Long-term results of Burch colposuspension. hit J Urol. 2000; 7:1/9-SDÜ Tıp Fakültesi Dergisi 2000; 7(3): /-4
125.
18. Drouin J, Tessier J, Bertand PE, Schick E. Burch colposuspension: long term results and review of published reports urology. 1999; 54: 808-814.

Thank you for copying data from http://www.arastirmax.com