Korean J Urol.
2001 Dec;42(12):1312-1315.
Long-term Results of the Gittes Procedure for Treatment of Stress Urinary Incontinence
- Affiliations
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- 1Department of Urology, Christian Hospital, Gwangju, Korea.
- 2Department of Urology, Wonkwang University Hospital, Iksan, Korea.
Abstract
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PURPOSE: We evaluated the long-term outcome of the Gittes procedure for treatment of stress urinary incontinence.
MATERIALS AND METHODS
A total of 84 women had Gittes bladder neck suspension carried out for the treatment of anatomic stress urinary incontinence. Long term (mean 51.4 months) results were evaluated using a questionnaire.
RESULTS
Of the 58 patients assessed, 25 (43.1%) reported cure of stress urinary incontinence, 19 (32.8%) reported improvement, 12 (20.7%) were the same and 2 (3.4%) were worse after Gittes bladder neck suspension. Thirty-seven (63.8%) replied 'satisfactory' for the Gittes bladder neck suspension. Overall success rate was estimated as 62.1%. Depending on follow-up periods success rate was declined with time and by 5 years the success rate was 67.2%.
CONCLUSIONS
Although the Gittes procedure was quick and easy to perform and was well tolerated with minimal complications, long term follow-up study of Gittes bladder neck suspension showed a declining success rate with time. Therefore it may not be a satisfactory procedure for the management of anatomic stress urinary incontinece in women.
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