%0 Journal Article
%T Uraco-cistopexia: nueva t¨¦cnica de cisto-suspensi¨®n asociada al Burch para el tratamiento del cistocele e incontinencia urinaria de esfuerzo, seguimiento a largo plazo
%A Serrano-Brambila
%A Eduardo Alonso
%A Lorenzo-Monterrubio
%A Jos¨¦ Luis
%A L¨®pez-S¨¢mano
%A Virgilio Augusto
%A Montoya-Mart¨ªnez
%A Guillermo
%A Orozco-Lara
%A Juan Carlos
%A Ixquiac-Pineda
%A Guillermo Antonio
%J Archivos Espa£¿oles de Urolog¨ªa (Ed. impresa)
%D 2009
%I Scientific Electronic Library Online
%R 10.4321/S0004-06142009000100005
%X objectives: to compare long term efficacy and morbidity in patients with stress urinary incontinence treated using burch's colpopexy versus burch's colpopexy plus urachus-cystopexy. methods: retrospective, longitudinal comparative, observational study in 129 patients with stress urinary incontinence (sui) or mixed urinary incontinence (mui). fifty four patients underwent burch's colpopexy (group b) and 75 patients underwent burch's colpopexy and urachus-cystopexy (group b u). these patients completed inclusion criteria from january 1994 to march 2005. the severity of sui was evaluated by means of the number of pads used in 24 hours. cure was defined as patients not using any pad for urinary leakage; improvement, when the number of pads used decreased to one pad a day; and failure when the patients used more than 1 pad in 24 hours. in mui the urge urinary incontinence (uui) component was evaluated separately. results: after 12 months of follow-up, 47 patients of group b and 67 patients of group bu were evaluated analyzing cure/improvement. either one were observed in 74.4% (29/6) and 97% (58/7) respectively (p= 0.001). at 24 months follow up, in 35 patients of group b and 42 of group bu, a rate of 65.7% (22/3) and 97.6% (37/4) was observed respectively (p=0.014). mui was present in 53.7% of group b and 58.6% patients of group bu. an independent analysis was made on urge urinary incontinence (uui) in these patients at 12 months; 53.1 % of group b and 19.4 % of group bu had uui (p= 0.000). at 24 months, 50% of patients of group b and 26.19% of group bu had uui (p= 0.029). de novo uui was present in 19.4% of group b and 5.97% of group bu (p= 0.000) at12 months follow-up, and in 17.64% of patients of group b and 13.95% of group bu (p= 0.005) at 24 months. complications related to urachus-cystopexy presented transoperatively: vesical injury in 3 of the initial cases, solved with bladder closure in two layers and vesical catheter for 7 days approximately. conclusions: burc
%K urachus-cystopexy
%K urinary incontinence
%K cystocele.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0004-06142009000100005&lng=en&nrm=iso&tlng=en