Retropubic urethropexy (RPUP): A 15-year review of perioperative complications

✍ Scribed by S. Solh; G. H. Holschneider; T. B. Lebherz; F. J. Montz

• Book ID: 104767561
• Publisher: Springer
• Year: 1994
• Tongue: English
• Weight: 449 KB
• Volume: 5
• Category: Article
• ISSN: 0937-3462
• DOI: 10.1007/bf00418698

✦ Synopsis

The morbidity of two operations used to treat genuine stress urinary incontinence was evaluated. The data of 115 patients who underwent primary incontinence surgery with a Burch or Pereyra (RPUP) procedure between January 1978 and August 1992 were analyzed and information regarding complications was accrued. Patients were divided into four groups of 50: group I, Burch alone; group II, Pereyra alone; group III, Burch with concomitant operations; and group IV, Pereyra with concomitant operations. In group I (n = 7) no patient had intra-or immediate postoperative complications; 1 patient had a late complication. In group II (n = 14): 1 patient (7%) had an intraoperative complication, 4 (28%) experienced immediate and 4 (28%) late postoperative complications. Of group III, (n = 26) 7 patients (27%) had intraoperative, 9 (35%) immediate and 2 (8%) late postoperative complications. In group IV (n = 68) 12 patients (18%) had intraoperative, 17 (25%) immediate, and 22 (31%) late postoperative complications. Patients undergoing a Pereyra and a concomitant procedure had significantly more late postoperative complications than did similar patients who underwent a Burch procedure (P <0.03). It was concluded that RPUPs have varying degrees of associated morbidity. No significant difference was noted in intraoperative complications rates between the four groups, though postoperative complication rates varied significantly.