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Scientific paper - Original scientific paper
Operative complications and results of the "SPARC" procedure for stress urinary incontinence
Collegium Antropologicum, 33 (2009), 1; 201-204. urn:nbn:hr:105:805209
Orešković, Slavko; Kalafatić, Držislav; Lovrić Gršić, Helena; Gojević, Ante; Gregov, Marija; Babić, Ivan

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Orešković, S., Kalafatić, D., Lovrić Gršić, H., Gojević, A., Gregov, M. & Babić, I. (2009). Operative complications and results of the "SPARC" procedure for stress urinary incontinence . Collegium Antropologicum, 33. (1), 201-204. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:805209

Orešković, Slavko, et al. "Operative complications and results of the "SPARC" procedure for stress urinary incontinence ." Collegium Antropologicum, vol. 33, no. 1, 2009, pp. 201-204. https://urn.nsk.hr/urn:nbn:hr:105:805209

Orešković, Slavko, Držislav Kalafatić, Helena Lovrić Gršić, Ante Gojević, Marija Gregov and Ivan Babić. "Operative complications and results of the "SPARC" procedure for stress urinary incontinence ." Collegium Antropologicum 33, no. 1 (2009): 201-204. https://urn.nsk.hr/urn:nbn:hr:105:805209

Orešković, S., et al. (2009) 'Operative complications and results of the "SPARC" procedure for stress urinary incontinence ', Collegium Antropologicum, 33(1), pp. 201-204. Available at: https://urn.nsk.hr/urn:nbn:hr:105:805209 (Accessed 01 April 2025)

Orešković S, Kalafatić D, Lovrić Gršić H, Gojević A, Gregov M, Babić I. Operative complications and results of the "SPARC" procedure for stress urinary incontinence . Collegium Antropologicum [Internet]. 2009 March [cited 2025 April 01];33(1):201-204. Available at: https://urn.nsk.hr/urn:nbn:hr:105:805209

S. Orešković, D. Kalafatić, H. Lovrić Gršić, A. Gojević, M. Gregov and I. Babić, "Operative complications and results of the "SPARC" procedure for stress urinary incontinence ", Collegium Antropologicum, vol. 33, no. 1, pp. 201-204, March 2009. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:805209. [Accessed: 01 April 2025]

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Metadata
Title (english)Operative complications and results of the "SPARC" procedure for stress urinary incontinence
Title (croatian)Operativne komplikacije i ishod metode SPARC u liječenju statičke inkontinencije mokraće
AuthorSlavko Orešković
AuthorDržislav Kalafatić
AuthorHelena Lovrić Gršić
AuthorAnte Gojević
AuthorMarija Gregov
AuthorIvan Babić
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
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%, chi2 = 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.
Abstract (croatian)
U radu je prikazana učinkovitost metode SPARC i usporedba pojave komplikacija u bolesnica koje su prvi puta operirane SPARC metodom i bolesnica koje su već prethodno imale operacije dna zdjelice. Stotinu dvadeset i jedna žena sa statičkom inkontinencijom operirana je SPARC metodom zbog hipermobilnosti uretre (n=65) odnosno intrinzičnog oštećenja uretralnog sfinktera (n=56) u razdoblju između kolovoza 2002 i veljače 2007 godine. Prikazan je dugoročni ishod, operativne komplikacije (ozljeda mjehura, retropubični hematom, de novo urgencija, urinarna infekcija) te zadovoljstvo bolesnica. Ukupan udio komplikacija bio je 9,9% (12/121). Perioperativnih komplikacija bilo je 1,7%, što uključuje 2 ozljede mjehura. Zamijećena je značajna razlika u broju komplikacija između bolesnica koje su prethodno operirane odnosno onih kojima je ovo bila prva korekcija inkontinencije (9/23, 39,1% vs. 3/98, 3,1%, P<0,001). Ukupan broj postoperativnih komplikacija bio je 8,3% (10/121) uključujući 4 de novo urgencije, 4 urinarne infekcije i 2 retropubična hematoma. Nije bilo slučajeva trajne postoperativne urinarne retencije niti otežanog mokrenja. Ukupna učinkovitost metode bila je 86,8% (105/121). U bolesnica s čistom statičkom inkontinencijom, a bez prethodne operativne korekcije, SPARC je sigurna metoda, s niskim udjelom komplikacija i zadovoljavajućim dugoročnim ishodom.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCollegium Antropologicum
Numberingvol. 33, no. 1, pp. 201-204
p-ISSN0350-6134
URN:NBNurn:nbn:hr:105:805209
Publication2009-03
Document URLhttps://hrcak.srce.hr/39558
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-28 11:21:12