Skip to the main content

Collegium antropologicum, Vol. 33 No. 1, 2009.

Original scientific paper

Operative Complications and Results of the »Sparc« Procedure for Stress Urinary Incontinence

Slavko Orešković ; Department of Obstetrics and Gynecology, School of Medicine, University of Zagreb, Zagreb, Croatia
Držislav Kalafatić ; Department of Obstetrics and Gynecology, School of Medicine, University of Zagreb, Zagreb, Croatia
Helena Lovrić Gršić ; Department of Obstetrics and Gynecology, School of Medicine, University of Zagreb, Zagreb, Croatia
Ante Gojević ; Department of Surgery, School of Medicine, University of Zagreb, Zagreb, Croatia
Marija Gregov ; Department of Obstetrics and Gynecology, School of Medicine, University of Zagreb, Zagreb, Croatia
Ivan Babić ; Department of Obstetrics and Gynecology, School of Medicine, University of Zagreb, Zagreb, Croatia

Full text: english pdf 62 Kb

page 201-204

downloads: 730

cite

Abstract

The aim of this study was to determine the efficacy and operative complications of the suprapubic arc (SPARC) procedure in stress incontinent women with and without previous anti-incontinence surgery. One-hundred and twenty-one patients with stress urinary incontinence (SUI) were treated with SPARC for correction of urethral hypermobility (N=65) and intrinsic sphincter deficiency (N=56) between August 2002 and February 2007. The long-term surgical results, operative complications (bladder injury, retropubic hematoma, de novo urgency and urinary infection) and patients’ satisfaction were assessed. The overall complication rate was 9.9% (12/121). The perioperative complication rate was 1.7% including 2 urinary bladder injuries. Significant difference in the overall complications rate was detected between women with and without previous surgery (23/45, 51.1% vs. 6/108, 5.5%, c2=49.89, P<0.001). The overall postoperative complication rate was 8.3% (10/121) including 4 de novo urgencies, 4 urinary infections and 2 retropubic hematomas. There were 3 patients with postoperative urinary retention managed conservatively, without voiding difficulties on control visits. The objective cure rate after the follow-up was 86.8% (105/121). In patients with SUI and without preceding vaginal operations SPARC is a good method with low incidence of perioperative complications, promising long-term results and high patient satisfaction.

Keywords

stress urinary incontinence; SPARC; complications; efficacy

Hrčak ID:

39558

URI

https://hrcak.srce.hr/39558

Publication date:

1.3.2009.

Visits: 1.583 *