| Yang JM |
------>authors3_c= ------>paper_class1=1 ------>Impact_Factor=1.607 ------>paper_class3=2 ------>paper_class2=1 ------>vol=13 ------>confirm_bywho=sihuang ------>insert_bywho=sherry ------>Jurnal_Rank=41.7 ------>authors4_c= ------>comm_author= ------>patent_EDate=None ------>authors5_c= ------>publish_day=1 ------>paper_class2Letter=None ------>page2=295 ------>medlineContent= ------>unit=J0400 ------>insert_date=20060504 ------>iam=2 ------>update_date=None ------>author=??? ------>change_event=4 ------>ISSN= ------>authors_c= ------>score=500 ------>journal_name=J Minim Invasive Gynecol ------>paper_name=A surgical technique to adjust bladder neck suspension in laparoscopic Burch colposuspension ------>confirm_date=20090324 ------>tch_id=083024 ------>pmid=16825068 ------>page1=289 ------>fullAbstract=STUDY OBJECTIVE: To evaluate the anatomic and functional efficacy of a surgical technique designed to prevent overcorrection of the bladder neck in laparoscopic Burch colposuspension for primary urodynamic stress incontinence. DESIGN: Prospective, observational study (Canadian Task Force classification II-2). SETTING: Medical center, Taipei, Taiwan. PATIENTS: One hundred fifty-five consecutive women, aged 33 to 71 years, undergoing laparoscopic Burch colposuspension for primary (not previously operated on) urodynamic stress incontinence were prospectively assessed over a 6-year period. INTERVENTIONS: A bladder neck suspension technique, derived from serial perioperative ultrasound examinations for open Burch colposuspension, was incorporated into laparoscopic Burch procedure. MEASUREMENTS AND MAIN RESULTS: The outcome measures included duration of postoperative voiding trials, morphologic changes on ultrasound scanning within 1 month of operation, postoperative continence rate, persistent or de novo urge symptoms or detrusor overactivity, and therapeutic satisfaction for laparoscopic Burch colposuspension. At 1-year follow-up, the objective cure rate was 94.8% (110/116), subjective cure rate was 95.7% (111/116), and overall therapeutic satisfaction was 92.2% (107/116). Kaplan-Meier analysis revealed the cumulative rates for subjective cure of stress incontinence and freedom from urge symptoms at 1, 3, and 5 years were 95.7%, 90.7%, and 76.5%, and 92.7%, 90.4%, and 90.4%, respectively. Four women (2.6%) had prolonged voiding trials greater than 1 week. Urge symptoms occurred in 12 women (7.7%), and de novo detrusor overactivity occurred in 6 (3.9%). Demographic factors, concomitant surgical procedures, and perioperative morphologic variables did not correlate with prolonged voiding trials or postoperative urge symptoms. CONCLUSIONS: Our standardized surgical technique may help to avoid overelevation and associated postoperative complications without compromising the success of laparoscopic colposuspension for primary urodynamic stress incontinence. ------>tmu_sno=None ------>sno=13694 ------>authors2=Yang SH ------>authors3=Huang WC ------>authors4= ------>authors5= ------>authors6= ------>authors6_c= ------>authors=Yang JM ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c= ------>publish_area=0 ------>updateTitle=A surgical technique to adjust bladder neck suspension in laparoscopic Burch colposuspension. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no= ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2006 ------>submit_flag=None ------>publish_month=1 |