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Stamey, Raz, and Modified Pereya

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Female Pelvic Reconstructive Surgery

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Abstract

For over 40 years, transvaginal needle suspensions have been utilized to treat anatomic or genuine stress incontinence.1 These procedures have the obvious advantage of avoiding the morbidity from an abdominal incision that was necessary for previous suspension techniques.2 Since that time, the needle suspension has undergone a number of technical modifications and revisions, all designed to improve cure rates, while simplifying surgical technique. The goals of these procedures have been to correct urethral and bladder neck hypermobility, secure the vaginal wall, and provide support for the proximal urethra during times of increased abdominal pressure. This chapter outlines the various techniques of transvaginal needle suspension for the treatment of stress incontinence, beginning with preoperative assessment through operative technique and postoperative management.

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Authors
  1. Scott Littwiller
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  2. Philippe E. Zimmern
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Editor information

Editors and Affiliations

  1. Department of Obstetrics and Gynaecology, St. George’s Hospital Medical School, London, UK

    Stuart L. Stanton FRCS, FRCOG, FRANZCOG (Hon)

  2. Department of Urology, Southwestern Medical Center at Dallas, Dallas, Texas, USA

    Philippe E. Zimmern MD, FACS

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© 2003 Springer-Verlag London Limited

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Littwiller, S., Zimmern, P.E. (2003). Stamey, Raz, and Modified Pereya. In: Stanton, S.L., Zimmern, P.E. (eds) Female Pelvic Reconstructive Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-0659-3_9

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  • DOI: https://doi.org/10.1007/978-1-4471-0659-3_9

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-85233-362-1

  • Online ISBN: 978-1-4471-0659-3

  • eBook Packages: Springer Book Archive

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