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Re: sutures at urethropexy From: dahmd@gate.net Wed Jan 29 22:03:54 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gerald P. Rodriguez: "Re: sutures at urethropexy" Previous message: Garry E. Siegel: "sutures at urethropexy" Maybe in reply to: nalbf@ime.net: "sutures at urethropexy" Next in thread: Gerald P. Rodriguez: "Re: sutures at urethropexy" In article "Garry E. Siegel" <garrys@atl.mindspring.com> writes: >What suture do you (oops--ya'll) use when performing open abdominal >retropubic urethropexies such as MMKs and Burchs? >Permanent or absorbable or delayed absorbable? >Do you try to get the periurethral tissue approximated to Cooper's ligament >or the bone, or do you leave a suture bridge (maybe depending on whether >permanent or absorbable suture is used)? Garry- I use ethibond (permanent). I shoot for 1 finger-breadth or so between the pubic bone and the urethra, regardless of whether or not there is a suture bridge or approximation to Cooper's ligament. I just helped someone on a "series" of 3 laparoscopic Burch procedures using Prolene mesh stapled with titanium staples to Coooper's and the vaginal mucosa lateral to the urethrovesical neck. It was actually a pretty smooth procedure, a culdeplasty was performed in all 3 cases, and there were no complications. I would like to see more long-term follow-up data on this procedure. What is your (or the group's) experience with this approach? Thanks, Ashley D. Ashley Hill, M.D. Next message: Gerald P. Rodriguez: "Re: sutures at urethropexy" Previous message: Garry E. Siegel: "sutures at urethropexy" Maybe in reply to: nalbf@ime.net: "sutures at urethropexy" Next in thread: Gerald P. Rodriguez: "Re: sutures at urethropexy"

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