Resumen

GARCIA FLOREZ, D. et al. Surgical management and urinary stress incontinence complications: Our experience in 385 female operated patients during the last 25 years. Actas Urol Esp [online]. 2003, vol.27, n.2, pp.92-96. ISSN 0210-4806.

We present the results and complications found and compared in 2 large series of patients who underwent a surgical procedure to avoid Urinary Stress Incontinence in our hospital. From january of 1994 to december of 2001 we collected 195 patients with an average age of 57.9 y we compared them with a prior series of 189 patients collected between january of 1976 and december of 1993,with an average age of 53.6. The continence rate was similar in both series (70.8% pre-94 and 74.5% post 94), slight incontinence 22.7% pre-94 and 19.2% post-94 and for complete incontinence 6.3% pre-94 and 6.2% post-94. The Burch procedure was the most common and also shows the greatest effectivness in our trial involving 113 cases and a continence rate of 74.3% in the first series and 144 cases and 77% respectively in the second series. The most common complications were very similar in both groups: tract urinary infection (5.2% and 9% first and second group), surgical wound infection (4.2% and 2.2% respectively). We conclude that in spite of the introduction of new and useful surgical procedure (TVT, periurethal substances injection…) the greatest long term succes rate still corresponds to the Burch colposuspension.

Palabras clave : Urinary stress incontinence; Burch; Surgical procedure.

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