Martínez-Moreno F, Kundhart-Rasch J, Velázquez-Sánchez MP

Idioma: Español
Referencias bibliográficas: 38
Paginas: 115-125
Archivo PDF: 487.75 Kb.

RESUMEN

Existen informes sobre el tratamiento quirúrgico de la incontinencia urinaria de esfuerzo, desde principios el siglo XX. El principal avance ha sido el criterio de selección de cada paciente para cada uno de los procedimientos existentes. La cirugía no puede limitarse a la uretra y a la vejiga, debe tenerse en mente el equilibrio de fuerzas que se ejercen en la pelvis femenina. Por eso, es necesario realizar una clasificación detallada del prolapso de órganos pélvicos, cuantificar los defectos de la fascia endopélvica y realizar un diagnóstico preciso del tipo de incontinencia urinaria que se está abordando. El clínico que se dedica a tratar mujeres con incontinencia urinaria sabe que la curación se aprecia mediante una valoración subjetiva, más que objetiva. En conclusión, la finalidad del tratamiento es la de crear una resistencia suficiente de salida para prevenir la pérdida de orina, aceptable desde el punto de vista social. En este trabajo se realiza una revisión de los diferentes tratamientos quirúrgicos de la deficiencia intrínseca del esfínter uretral, así como la presentación de dos ejemplos: uno con la técnica de cabestrillo y otro con la cinta vaginal libre de tensión en el Instituto Nacional de Perinatología.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Bates P, Bradley WE, Griffiths D, Melchor H, Rowan D, Sterling AM, Zinner N, Hald T. Standarization of terminology of lower urinary tract function. Urology 1977; 9: 237.

2. Thomas TM, Plymat KR, Blannin J, Meade TW. Prevalence of urinary incontinence. Br J Med Clinic 1980; 281(6250): 1243-5.

3. Jolleys JV. Reported prevalence of urinary incontinence in women in a general practice. Br J Med Clinic 1988; 296(6632): 1300-2.

4. Wilson PD, Herbison RM, Herbison GP. Obstetric practice and the prevalence of urinary incontinence three months after delivery. Br J Obst Gynecol 1996; 103(2): 154-61.

5. Herbertsson G, Losif CS. Surgical results and urodynamic studies 10 years after retropubic colpourethrocystopexy. Acta Obstet Gynecol Scand 1993; 72: 298-301.

6. Bump RC, Cundiff GW. Disfunción del piso pélvico. Urol Clin North Am 1989; 16: 548-65.

7. Colombo M, Vitobello D, Proietti F, Milani R. Randomised comparison of Burch colposuspension versus anterior colporrhaphy in women stress urinary incontinence and anterior vaginal wall prolapse. Br J Obstet Gynecol 2000; 107: 544-51.

8. Cardozo L. Genuine stress incontinence: Urogynecology. 1st. Ed. New York, USA: Churchil Livingstone; 1997, p. 256-60.

9. Henrikson L, Ulmsten U. A urodinamyc evaluation of the effects of abdominal urethrocystopexy and vaginal sling uretrhoplasty in women with stress incontinence. Am J Obstet Gynecol 1978; 131: 77-82.

10. Enzelsberger H, Helmer H, Schatten C. Comparison of Burch and lyodura sling procedures for repair of unsuccessful incontinence surgery. Obstet Gynecol 1996; 88: 251-6.

11. Culligan PJ, Winkler HA, Blackhurst DW, Sand PK. A prospective randomized study of modified Burch retro pubic urethropexy and suburetral sling for genuine stress incontinence and low-pressure urethra. Neurourol Urodyn 1998; 17(4): 133.

12. Bump RC, Cundiff GW. Uroginecología y disfunción del piso pélvico. Gynecol Obstet Clin North Am 1998; 4: 641-50.

13. Blaivas JG, Olsson CA. Stress incontinence: classification and surgical approach. J Urol 1988; 139: 727-31.

14. Blaivas JG, Olison CA. Stress incontinence: classification and surgical aproach. J Urol 1988; 139: 727.

15. McGuire EJ, Fitzpatrick CC, Wan J. Clinical assessment of urethral sphincter function. J Urol 1993; 150: 1452-4.

16. O’Connell H, McGuire E. Evaluation of female urinary incontinence. Medscape Women’s Health 1996; 1: 3.

17. Haylen BT, Sutherst JR, Frazer MI. Is the investigation of most stress incontinence really necesary? Br J Urol 1989; 64: 147.

18. McCormack M, Pike J, Kiruluta G. Leak point of incontinence: a measure of the interaction between outlet resistance and bladder capacity. J Urol 1993; 150: 162-4.

19. Wan J, McGuire EJ, Bloom DA, Ritchey ML. Stress leak point pressure: a diagnostic tool for incontinent children. J Urol 1993; 150: 700-2.

20. Swift SE, Ostergard DR. A comparison of stress leak point pressure and maximal urethral closure pressure in patients with genuine stress incontinence. Obstet Gynecol 1995; 85: 704-8.

21. Sand PK, Bowen LW, Panganiban R. The low pressure urethra as a factor and failed retropubic urethropexy. Obstet Gynecol 1987; 69: 399.

22. Cervigni, M. Natale, F. Surgical treatment of stress urinary incontinence. Eur J Obstet Gynecol 1999; 85: 63-70.

23. Colombo M, Scalambrino S, Maggioni A, Milani R. Burch colposuspension versus modified Marshall-Marchetti-Krantz. Urethropexy for primary genuine stress urinary incontinence: a prospective, randomized clinical trial. Am J Obstet Gynecol 1994; 171: 1573-9.

24. Bergman A, Koonongs P, Ballard C. Primary stress urinary incontinence and pelvic relaxation: Prospective randomized comparison of three different operations. Am J Obstet Gynecol 1989; 161: 97-101.

25. Bergman A, Giovanni E. Three surgical procedures for genuine stress incontinence: five-years follow-up of a prospective randomized study. Am J Obstet Gynecol 1995; 173: 66-71.

26. Kholehede P, Noren B. Prediction of genital prolapse after Burch colposuspension. Acta Obstet Gynecol Scand 1996; 75: 849-54.

27. Wiskind AK, Creighton SM, Stanton SL. The incidence of genital prolapse after the Burch colposuspension. AmJ Obstet Gynecol 1992; 167: 399-405.

28. Stanton SL, Cardozo LD. A comparison of vaginal and suprapubic surgery in the correction of incontinence due to urethral correction of incompetence. Br J Urol 1979; 51:497.

29. Van Geelen JM, Theeuwes AGM, Eskes TKAB, Martin CB. The clinical and urodynamic effects of anterior vaginal repair and Burch colposuspension. Am J Obstet Gynecol 1988; 159: 137.

30. Weil A, Reyes H, Bischoff P, et al. Modification of the urethral rest and stress profiles after different types of surgery for urinary stress incontinence. Br J Obstet Gynecol 1984; 91: 46.

31. Bergman A, Ballard CA, Koonings PP. Comparison of three different surgical procedures for genuine stress incontinence: prospective randomized study. Am J Obstet Gynecol 1989; 160: 1102.

32. Mundy AR. A trial comparing the Stamey bladder neck suspension procedure with colposuspension for the treatment of stress urinary incontinence. Br J Urol 1983; 55: 687.

33. Stamey TA. Endoscopic suspension of the vesical neck for the urinary incontinence in females. Report on 203 consecutive patients. Ann Surg 1980; 192: 465-71.

34. Walker GT, Texter JH. Succes and patient satisfaction following the Stamey procedure for stress urinary incontinence. J Urol 1992; 147: 1521-3.

35. Karram MM, Angel O, Koonings PP, Tabor B, Bergman A, Bhatia N. The modified Pereyra procedure: a clinical and urodynamic review. Br J Obstet Gynecol 1992; 99: 655-8.

36. Stanton SL, Cardozo L. Results of colposuspension operation for incontinence and prolapse. Br J Obstet Gynecol 1979; 86: 693-7.

37. Alcalay M, Monga A, Stanton SL. Burch colposuspension: a 10-20 year follow-up. Br J Obstet Gynecol 1995; 102: 740-5.

38. Peattie AB, Stanton SL. The Stamey operation for correction of genuine stress incontinence in the elderly women. Br J Obstet Gynecol 1989; 96: 983-6.