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    Korean J Urol. 2006 Jul;47(7):734-739. Korean.
    Published online Jul 31, 2006.
    https://doi.org/10.4111/kju.2006.47.7.734
    Copyright © 2006 The Korean Urological Association
    Original Article

    The Results of Performing the SPARC Procedure for Treating Female Stress Urinary Incontinence: A 14 Month Study

    Woong Na and Jong Bouk Lee
      • Department of Urology, Gachon Medical School, Incheon, Korea.
    • Corresponding author (Email: jblee@gilhospital.com )
    Received January 23, 2006; Accepted June 13, 2006.

    Abstract

    Purpose

    The aim of this study was to evaluate the results of performing the suprapubic arc (SPARC) procedure during 14 months at our hospital for treating female stress urinary incontinence.

    Materials and Methods

    Between October 2002 and December 2003, 114 consecutive women who suffered with stress urinary incontinence underwent the SPARC procedure. All the patients were followed up for at least 1 year. The patients were preoperatively evaluated via taking their medical history, physical examinations, and conducting urinalysis and voiding cystourethrography and urodynamic studies, including determining the Valsalva leak point pressure (VLPP). Evaluations were conducted by questionnaires and interviews for determining the surgical outcome and the patients' satisfaction.

    Results

    The mean age was 48.6 years (30-70), the mean follow-up period was 16.4 months (12-25), the mean hospital stay was 3.8 days (2-10) and the mean operation time was 38.7 minutes. For 114 patients, 92 (80.7%) were cured and 17 (14.9%) were significantly improved. 99 patients (86.8%) were satisfied with the SPARC procedure, and 95 patients (83.3%) would like to recommend the SPARC procedure to others. Intraoperative complications included 9 (7.9%) bladder perforations and 1 (0.9%) urethral injury. Postoperative complications showed 14 cases (12.3%) of urinary retention, 2 cases (1.8%) of vaginal wound infections and 1 case (0.9%) of vaginal erosion due to tape. De novo urge incontinence was noted in 3 patients (2.6%).

    Conclusions

    Favorable results were obtained from the SPARC procedure. This procedure is an effective and safe technique for the treatment of female stress urinary incontinence in terms of the low morbidity and the high success rate.

    Keywords
    Urinary stress incontinence; Treatment outcome

    Tables

    Table 1
    Characteristics of the patients undergoing the suprapubic arc (SPARC) procedure

    Table 2
    Operative procedures combined with SPARC

    Table 3
    Clinical outcomes of the SPARC procedures

    Table 4
    Comparison of the postoperative result according to the VLPP

    Table 5
    Comparison of the postoperative result according to the duration of follow-up

    Table 6
    Complications of the SPARC procedure

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    MeSH Terms
    Female*
    Follow-Up Studies
    Humans
    Intraoperative Complications
    Length of Stay
    Physical Examination
    Postoperative Complications
    Surveys and Questionnaires
    Treatment Outcome
    Urinalysis
    Urinary Bladder
    Urinary Incontinence*
    Urinary Incontinence, Stress
    Urinary Incontinence, Urge
    Urinary Retention
    Urodynamics
    Wound Infection
    Metrics
    Share
    Tables
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