Comparison of the Laparotomic Retropubic Colposuspension in the Treatment of Genuine Urine Stress Incontinence: A Retrospective Study

Abstract

Background. This study compared the differences between laparoscopic and laparotomic retropubic colposuspensions in the treatment of patients with genuine urine stress incontinence. Methohs. Between January 1997 and December 1998, we studied 70 patients by dividing them into two groups: a laparoscopic colposuspension group and a laparotomic colposuspension group. The concomitant operations included hysterectomy, salpingectomy, salpingo-oophorectomy, ovarian cystectomy, utero-vaginal suspension with round ligament shortening, modified McCall-Moschowitz culdoplasty and colpopexy, and posterior colpoperineorrhaphy. Their perioperative courses and follow-ups were then compared for more than a year. The operation efficiencies were evaluated by subjective questionnaires, an estimated pad test and an objective urodynamic examination. Results. The patients in the laparoscopic group had longer operative times, less blood loss, less morbidity, shorter hospitalizations, and a similar successful rate when compared with patients in the laparotomic group. The subjective success rates between laparoscopic and laparotomic group were 94% and 91% respectively. Conclusions. Conclusions. With advanced operative laparoscopy technology, the laparoscopic approach to colposuspension had similar efficiencies and less morbidities in genuine stress incontinence when compared to the laparotomic approach.