Hong Kong Med J 2003;9:10-4 | Number 1, February 2003
Prospective randomised controlled trial comparing laparoscopic and open colposuspension
WC Cheon, JHL Mak, JYS Liu
Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital
OBJECTIVE. To compare the efficacy, safety, complications, and short-term outcome of laparoscopic and open colposuspension in women with genuine stress incontinence.
DESIGN. Randomised controlled trial.
SETTING. Urogynaecology unit in a public hospital, Hong Kong
SUBJECTS AND METHODS. Ninety patients with urodynamically proven genuine stress incontinence. Forty-three patients were randomly allocated to receive open colposuspension and 47 to undergo laparoscopy. All patients had reassessment within 1 year of the operation.
MAIN OUTCOME MEASURES. Objective and subjective measures and complication rates.
RESULTS. There was no significant difference in the duration of stress incontinence, mean preoperative pad test results, or proportion with pre-existing detrusor instability. Among patients in the laparoscopic group, the mean operating time was significantly longer (42.0 minutes versus 29.3 minutes; P
CONCLUSION. Laparoscopic colposuspension is a feasible alternative to the open approach. The operating time is longer but the short-term cure rate is comparable with that of the open approach.
Key words: Laparoscopy; Urinary incontinence, stress
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