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[Simplified Ramírez urethropexy in the treatment of genuine stress urinary incontinence in women. Multicenter study of clinical and urodynamic results]. 1997
J C Ramírez Fernández, and
M E Fuertes, and
J Salinas Casado, and
L Resel Estévez, and
M Sánchez Chapado, and
M Guil Cid, and
F Rodríguez De Bethancourt Codes, and
L Prieto Chaparro, and
G Shahrour, and
R Ocete Ocete, and
G Escribano Patiño, and
F González Chamorro, and
C Hernández Fernández, and
A Diego García, and
L Martín Rodríguez, and
J A Rodríguez García, and
E Sánchez Blasco, and
A Rodríguez Torres, and
M Rapariz González, and
S I Martínez de la Riva
1 Hospital Clínico Universitario San Carlos, Madrid, España.
OBJECTIVE To evaluate the clinical and urodynamic data of a multicenter study on female urinary stress incontinence undergoing surgical repair with the Ramírez simplified urethropexy. METHODS Clinical, urodynamic and videocystographic data were analyzed in a multicenter series of 340 female patients with urinary stress incontinence (mean age 51.7 +/- 9.7 years) before and after the Ramírez urethropexy technique (mean follow-up 21.7 months). RESULTS Post surgical urinary continence was 78.4%. Cystocele repair was demonstrated in 57.7%. Urge incontinence decreased in 17.1%. Daytime frequency statistically significantly decreased in 19%. Urinary obstructive symptoms increased in 19.3%. Bladder instability significantly decreased posturethropexy. Peak urinary flow rate and mean urinary flow rate diminished in 65% and 59%, respectively. Postvoiding residual urine increased significantly. No statistical correlation between posturethropexy continence and videocystographic bladder neck morphology was observed. CONCLUSIONS The clinical and urodynamic data obtained in our series indicate that the Ramírez urethropexy technique, a simple and fast procedure, may be considered an alternative treatment in female urinary stress incontinence.
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