| Revue: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296652 |
| ISSN: | 1677-5538 |
| Autores: | Bezerra, Carlos A1 Rodrigues, Alexandre O Seo, Alexandre L Ruano, Jose M.C Borrelli, Milton Wroclawski, Eric R |
| Instituciones: | 1Faculdade de Medicina do ABC, Disciplina de Urologia, Santo Andre, Sao Paulo. Brasil |
| Año: | 2004 |
| Periodo: | May-Jun |
| Volumen: | 30 |
| Número: | 3 |
| Paginación: | 230-236 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | INTRODUCTION: Surgery represents the main therapeutic modality for stress urinary incontinence. In incontinent patients with urethral hypermobility, the retropubic colposuspension by Burch technique is one of the surgeries that present better long-term results. Current trends towards performing minimally invasive techniques led proposing the Burch surgery through videolaparoscopy. The laparoscopic technique's long-term efficacy is a highly controversial issue. However, even if late results turn out to be satisfactory, the assumed advantages of laparoscopy (faster recovery, less pain, early return to daily activities, etc.) must be evident, in order to justify the use of this minimally invasive surgical access. MATERIALS AND METHODS: We reviewed our records and analyzed the medical charts of 26 female patients who underwent Burch surgery by open approach and 36 female patients by laparoscopic approach, between May 1999 and February 2001. The satisfaction level, surgical complication rates, surgery length, hospital stay and return to daily activities were analyzed. RESULTS: Mean age was 42 years, ranging from 27 to 68 years. Epidemiological data from both groups were not statistically different. Patients operated by laparoscopic route had a shorter hospital stay (p = 0.002) and a faster return to their daily activities (p < 0.001). However, there were no statistical differences in the following parameters: surgical time (p = 0.11), surgical complications (p = 0.98), patient satisfaction immediately (p = 0.77) and 90 days following |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Neurología, Incontinencia urinaria, Uretra, Laparoscopia, Técnicas quirúrgicas, Estrés |
| Keyword: | Medicine, Neurology, Surgery, Urinary incontinence, Urethra, Laparoscopy, Surgical techniques, Stress |
| Texte intégral: | Texto completo (Ver HTML) |
