RESEARCH ARTICLE


The Raz Bladder Suspensions: Treatment of Stress Urinary Incontinence: 10 Years Personal Experience



Ernest H Agatstein*, 1, Shlomo Raz 2
1 Department of Urology, Geffen School of Medicine at UCLA, USA
2 Division of Pelvic Medicine and Reconstructive Surgery, Geffen School of Medicine at UCLA, USA


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© Agatstein and Raz; Licensee Bentham Open.

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.

* Address correspondence to this author at the West Coast Urology, 575 E. Hardy St. Suite 215, Inglewood, California 90301, USA; Tel: 3106733333; Fax: 3106731714; E-mail: agatern@aol.com


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.

Keywords: Stress, treatment outcome, urinary incontinence..