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• W2088212421 abstract "No AccessJournal of UrologyAdult Urology: Voiding Dysfunction1 Apr 2005LONG-TERM 5-YEAR FOLLOWUP OF THE RESULTS OF THE VESICA PROCEDURE SHEILAGH VIVIENNE REID and B.O.T. PARYS SHEILAGH VIVIENNE REIDSHEILAGH VIVIENNE REID More articles by this author and B.O.T. PARYSB.O.T. PARYS More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000149030.31634.42AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the long-term results of Vesica (Boston Scientific Corp., Watertown, Massachusetts) percutaneous bladder neck suspension for stress urinary incontinence. Materials and Methods: A total of 40 women with urodynamically proven stress urinary incontinence (SUI) underwent Vesica percutaneous bladder neck suspension between 1994 and 1997. Patients were assessed at 6 months, 12 months and 5 years with a simple questionnaire to elicit whether they had experienced any adverse effects, whether they were dry and whether further investigation or a surgical incontinence procedure was offered. Results: Only 1 of the 40 women was lost to long-term followup. Initial results were excellent with 85% of women reporting complete dryness at 6 months. However, wound infections developed in 16% of patients secondary to hematomas in the suprapubic incisions and 10% required a period of intermittent self-catheterization. By 12 months only 46% of women remained dry, although most only reported occasional leakage. At 5 years 69% of patients had recurrent SUI and more than two-thirds of this group (70%) had symptoms severe enough to be offered a further surgical procedure. Patients undergoing subsequent secondary procedures were found to have fraying of the suspensory sutures at the bone anchor. Conclusions: Initial results of this minimally invasive procedure were excellent and despite the lack of long-term data the technique rapidly came into widespread use. The 5-year outcome shows a 31% continence rate. We no longer advocate this particular form of bladder neck suspension for SUI. References 1 : Definition of overactive bladder and epidemiology of urinary incontinence. Urology1997; 50: 4. Google Scholar 2 : Long-term results after Burch colposuspension. Am J Obstet Gynecol1994; 171: 647. Google Scholar 3 : Female Stress Urinary Incontinence Clinical Guideline Panel summary report on surgical management of female stress urinary incontinence. J Urol1997; 158: 875. Link, Google Scholar 4 : Vesica percutaneous bladder neck stabilization. J Endourol1996; 10: 221. Google Scholar 5 : Percutaneous urethral suspension with bone anchorage (Vesica) in the treatment of stress urinary incontinence. Results after a year of followup. Actas Urol Esp1998; 22: 671. Google Scholar 6 : Pubovaginal sling using polypropylene mesh and Vesica bone anchors. Urology1998; 51: 708. Crossref, Medline, Google Scholar 7 : Bone anchor 4-corner cystourethropexy: long-term results. J Urol2003; 169: 2244. Link, Google Scholar 8 : A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two-year follow-up. Am J Obstet Gynecol2004; 190: 324. Google Scholar From the Department of Urology, Rotherham General Hospitals National Health Service Trust, Rotherham, United Kingdom© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 173Issue 4April 2005Page: 1234-1236 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordsbladderfemalesurinary incontinence, stressurethraMetricsAuthor Information SHEILAGH VIVIENNE REID More articles by this author B.O.T. PARYS More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2088212421 title "LONG-TERM 5-YEAR FOLLOWUP OF THE RESULTS OF THE VESICA PROCEDURE" @default.
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