RESEARCH ARTICLE
The Raz Bladder Suspensions: Treatment of Stress Urinary Incontinence: 10 Years Personal Experience
Ernest H Agatstein*, 1, Shlomo Raz 2
Article Information
Identifiers and Pagination:
Year: 2014Volume: 7
First Page: 86
Last Page: 90
Publisher ID: TOUNJ-7-86
DOI: 10.2174/1874303X01407010086
Article History:
Received Date: 24/6/2014Revision Received Date: 10/7/2014
Acceptance Date: 10/7/2014
Electronic publication date: 24 /7/2014
Collection year: 2014
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Abstract
Introduction :
We report on one surgeon’s clinical experience with the 2 and 4 corner Raz bladder suspension performed for the treatment of stress urinary incontinence (alone or associated with cystocoele repair) in a consecutive patient cohort between 2003 and 2012 reporting short and longer term results.
Materials and Methods :
We performed a retrospective study of consecutive patients who underwent a 2 or 4 corner Raz bladder suspension by one surgeon (EHA ) to treat stress urinary incontinence over a period of time from Jan 1 2003 -Sept
2012. 3 month and longer term outcomes was determined by patient self assessment including validated questionnaires.
Results :
98.7% of 82 patients reported no stress incontinence at 3 months Longer term follow-up was available on 48 (65%) patients. Of those lost to follow up, 8 were deceased. Mean age was 66.1 years. Mean follow up was 48.2 months (range 4-111months). 21 of the 48 (44%)patients were beyond 48 months. 41 of 48 (85%) patients were either delighted, pleased or mostly satisfied. 42 of 48 patients (87.5 %) had 50 % or more improvement. Pad use of 2.6 decreased to 0.9 pads with P value less than 0.0001.
Conclusion :
The Raz bladder suspension has good short and longer term results in relieving stress incontinence in addition to low morbidity and lower costs without the use of any mesh product.
