Stress İnkontinanslı Hastalarda Modifiye Gittes Operasyonu'nun Uzun Dönem Sonuçları

Between August 1993 and December 1995, modified Gittes operation performed in 27 patients with type 2 stress incontinence. Of 27, 21 patients were followed up regularly and accepted as the study group. The aim of the study was to evaluate the success rate of operation and the effects on the life quality of the patients. The patients emptied their bladders with acceptable residual urine volumes between 2nd and 21st days (mean 8 days) following the operation. At 3rd month after the prosedures, the operations were found fully successfull in 80%, moderately successful in 14.5%, and unsuccessfull in 4.7% of the patients. At 9th month, the operations were found fully successful still in 80%, moderately successful in 9.5%, and unsuccessfull in 9.5% of the patients. At the 18th month, the operations were successful in only 52.3%, moderately successful in 9.5%, and unsuccessfull in 38% of the patients. In two patients who had unsuccessfull results with modified Gittes operations, retroperitonoscopic BURCH suspension was performed. During the retroperitonoscopy, the prolen sutures which were applied in previous operations were found in Cooper ligament. Probably these sutures came into the ligament by tearing rectus fascia. Our experience with these limited number of patients showed us the success rate of modified Gittes operations were significantly decreased in long term (beyond 12 mounths) follow up. Presumably, the suspension sutures may tear the endopelvic and rectus fascia and caused the lack of necessary stabilization and suspension of the bladder neck. [Journal of Turgut Özal Medical Center 1998;5(1):64-67]