Korean J Urol.  1993 Oct;34(5):889-893.

Effectiveness of the intraoperative chain cystourethrogram in "No-incision" bladder neck suspension

• Cho SJ
• Park YH

Abstract

"No-incision" bladder neck suspension, Gittes` operation, is a simple & effective technique among the various surgical technique. But occasionally patients was complained of long - term urinary retention and voiding difficulty after operation because or excessive traction of the nylon suture. We prevented them using chain cystourethrogram intraoperatively. This operation was performed under the spinal anesthesia which the patients can do the Valsalva maneuver during operation. Posterior urethrovesical angle was not significantly different between preoperative & intraoperative chain cystourethrogram. We corrected wide posterior urethrovesical angle to about 100 (mean angle of the normal range). Normal voiding after catheter removal & duration of admission was signiricantly decreased in intraoperative chain cystourethroram group(p<0.05). During 11 months follow-up, overall cure rate was 84.6% without long-term postoperatively voiding difficulty. We concluded that intraoperative chain cystourethrogram was useful methods for good results.

Keyword

Stress incontinence; Intraoperative chain cystourethrogram

MeSH Terms

Anesthesia, Spinal
Catheters
Follow-Up Studies
Humans
Neck*
Nylons
Sutures
Traction
Urinary Bladder*
Urinary Retention
Valsalva Maneuver
Nylons