{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:28:41Z","timestamp":1777483721608,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2003,12,22]],"date-time":"2003-12-22T00:00:00Z","timestamp":1072051200000},"content-version":"vor","delay-in-days":447,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2002,10]]},"abstract":"<jats:p><jats:bold>Objective\n\t\t\t\t\t<\/jats:bold> To evaluate the results of secondary colposuspension in women with recurrent urinary stress incontinence.<\/jats:p><jats:p><jats:bold>Design\n\t\t\t\t\t<\/jats:bold> Prospective cross sectional observational study.<\/jats:p><jats:p><jats:bold>Setting\n\t\t\t\t\t<\/jats:bold> Tertiary referral urogynaecology unit.<\/jats:p><jats:p><jats:bold>Population\n\t\t\t\t\t<\/jats:bold> Fifty\u2010six women with recurrent stress incontinence.<\/jats:p><jats:p><jats:bold>Main outcome measures\n\t\t\t\t\t<\/jats:bold> Determine prognostic factors that may affect the outcome of surgery, long term subjective and objective success rates and identify complications of secondary colposuspension.<\/jats:p><jats:p><jats:bold>Results\n\t\t\t\t\t<\/jats:bold> The mean age was 54 years (range 34\u201383) and the median parity was 3 (range 1\u20135). The median length of follow up was four years (range 1.01\u20137.07). Forty\u2010two (75%) women had genuine stress incontinence and 14 (25%) had mixed incontinence on subtracted cystometry. The subjective cure rate was 71% and the objective cure rate was 80% and, as per Kaplan\u2013Meier life time analysis, 65% had not failed surgery five years after the operation. The complication rate was low. However at follow up, eight women had required a posterior colporrhaphy for rectocele and three had a sacrocolpopexy for vault prolapse. Another eight women required further treatment for stress incontinence (seven urethral bulking agents and one tension\u2010free vaginal tape). There was no correlation of the outcome to age, past hysterectomy, number of previous incontinence procedures, parity, body mass index or blood loss at operation.<\/jats:p><jats:p><jats:bold>Conclusion\n\t\t\t\t\t<\/jats:bold> Colposuspension after failed continence surgery has a good outcome with a low complication rate, but many still require further surgery for prolapse.<\/jats:p>","DOI":"10.1111\/j.1471-0528.2002.01377.x","type":"journal-article","created":{"date-parts":[[2003,12,22]],"date-time":"2003-12-22T15:24:20Z","timestamp":1072106660000},"page":"1115-1120","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Secondary colposuspension: results of a prospective study from a tertiary referral centre"],"prefix":"10.1111","volume":"109","author":[{"given":"Ranee","family":"Thakar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart","family":"Stanton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Prodigalidad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"den Boon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,12,22]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1979.tb11268.x"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1994.tb11907.x"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1995.tb11434.x"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1999.tb08271.x"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1999.tb08373.x"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016349709047829"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.1930070502"},{"key":"e_1_2_6_9_2","first-page":"399","article-title":"The low pressure urethra as a factor in failed retropubic urethropexy","volume":"69","author":"Sand PK","year":"1987","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-197805000-00001"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016349209021089"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1989.tb01705.x"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1022915"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(99)70432-1"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1994.tb07447.x"},{"key":"e_1_2_6_16_2","first-page":"33","article-title":"Voiding difficulties after colposuspension","volume":"69","author":"Lose G","year":"1987","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1978.tb10470.x"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.1997.00480.x"},{"key":"e_1_2_6_19_2","first-page":"144","article-title":"Voiding difficulties in the female: prevalence, clinical and urodynamic review","volume":"61","author":"Stanton SL","year":"1983","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_20_2","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/S0002-9378(11)91419-7","article-title":"The incidence of genital prolapse after the Burch colposuspension","volume":"167","author":"Wiskind AK","year":"1992","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1053\/beog.1999.0079"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.1999.00321.x"},{"key":"e_1_2_6_23_2","first-page":"354","article-title":"Predicting outcome of colposuspension: a prospective evaluation","volume":"16","author":"Monga AK","year":"1997","journal-title":"Neurourol Urodyn"},{"key":"e_1_2_6_24_2","first-page":"300","article-title":"Tension free vaginal tape operation. 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