caa a22 4500 475811682 CHVBK 20180406123800.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s001920050077 doi (NATIONALLICENCE)springer-10.1007/s001920050077 Abdominal Urethrocystopexy Using Fibrin Sealant. A Prospective Study of Long-Term Efficacy [Elektronische Daten] [P. Kjølhede, G. Rydén, P. Hewardt] Abstract:: Over the past decade efforts have been made to develop less invasive surgical treatment for female stress urinary incontinence (SUI). Abdominal urethrocystopexy with fibrin sealant combined with a couple of absorbable sutures has previously been reported as a promising method. This prospective observational study was aimed at evaluating the efficacy and safety of abdominal urethrocystopexy through a minilaparotomy using solely fibrin sealant (Tisseel) as the fixation glue. Forty-three women with objectively proven SUI were operated upon with this method. The subjective cure rates at 1 and 3 years' follow-up were 72% and 55%, respectively. The corresponding objective cure rates were 64% and 60%. No serious major operative complications occurred. One patient had transient urinary retention for 3 months. Otherwise, micturition was established within a median 1 day (range 1-3 days) after the operation. The result of this pilot study indicates a cure rate lower than that obtained with the conventional abdominal Burch colposuspension. Thus the method cannot be recommended as a standard procedure for treatment of SUI. Springer-Verlag London Limited, 2000 Key words:Fibrin sealant - Stress urinary incontinence - Urethrocystopexy nationallicence Kjølhede P. University Hospital, Linköping, SE aut Rydén G. University Hospital, Linköping, SE aut Hewardt P. County Hospital, Västervik, Sweden, SE aut https://doi.org/10.1007/s001920050077 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s001920050077 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kjølhede P. University Hospital, Linköping, SE aut NATIONALLICENCE 700 1- Rydén G. University Hospital, Linköping, SE aut NATIONALLICENCE 700 1- Hewardt P. County Hospital, Västervik, Sweden, SE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer