Re: sutures at urethropexy

From: Gail Waldby MD (gwaldby@iw.net)
Thu Jan 30 20:00:39 1997


Garry E. Siegel wrote: >
> What suture do you (oops--ya'll) use when performing open abdominal
> retropubic urethropexies such as MMKs and Burchs?
>

Burch

>
> Permanent or absorbable or delayed absorbable?
>

0 Prolene (permanent monofilament)

>
> 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)?
>

Suture bridge to Cooper's ligament usually, but sometimes the periurethral tissue comes up to Cooper's ligament (even leaving a 1 cm gap between the urethra and the pubis--I use the Poole suction as my 1 cm measuring stick)

--
Gail Waldby, MD
Huron Clinic SD




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 05:20:46 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.