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- W2014373577 abstract "Abstract All current surgical procedures for genuine stress incontinence are associated with a significant risk of failure and the possibility of causing new problems such as detrusor instability and voiding dysfunction. In addition, procedures may be complicated by other perioperative morbidity. A number of new procedures are now available which reduce the invasiveness of the surgical treatment as well as increasing the options available for those where primary surgery has failed. Alternative approaches such as laparoscopic colposuspension may reduce the morbidity of the open colposuspension as well as hastening recovery. Data on outcome are of poor quality and further research is required to establish whether this is a useful technique. Tension-free vaginal tape is a relatively minor procedure with promising early results although follow up is needed to determine long-term cure and exclude problems with erosion. Periurethral bulking agents appear to be safe and associated with few problems; they are minor procedures but are not associated with as high success rates as more major surgery. Clam ileocystoplasty is an option for the management of severe intractable detrusor instability with dramatic relief of symptoms possible. Patients undergoing such major surgery need to be counselled fully about the possible morbidity." @default.
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- W2014373577 date "2000-06-01" @default.
- W2014373577 modified "2023-09-26" @default.
- W2014373577 title "Surgical procedures in urogynaecology" @default.
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- W2014373577 doi "https://doi.org/10.1054/cuog.2000.0119" @default.
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