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Experience of the Raz Procedure for Stress Urinary Incontinence
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KMID : 0358319920330030514
Abstract
Bladder neck suspension to replace the bladder neck and proximal urethra into a high fixed retropubic position is paramount in the surgical treatment of genuine stress incontinence. Thirteen patients with grade II stress incontience and one
patient
with
grade III one underwent the Raz bladder neck suspension. All patients had no previous anti-incontinence operation, radiation therapy and pelvic trauma. Thirteen patients(93%) were cured and one patient(7%) improved with mean follow-up period of
26
months. One failure case was due to insufficient suspension toward high retropubic position. The complications were not significant except temporary urinary retention of 2 to 9 days. l The Raz bladder neck suspension providing good mobilization
of
paraurethral tissues is considerable way to the treatment of all types of genuine stress incontinence except those secondary to urethral intrinsic damage.
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