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

Woong Na; Jong Bouk Lee

doi:10.4111/kju.2006.47.7.734

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

Original Article

Korean Journal of Urology

Korean Journal of Urology 2006; 47(7): 734-739.

Published online: 31 July 2006

DOI: https://doi.org/10.4111/kju.2006.47.7.734

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

Woong Na, Jong Bouk Lee

Department of Urology, Gachon Medical School, Incheon, Korea.

Corresponding author (jblee@gilhospital.com)

Received 23 January 2006 Accepted 13 June 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

Figures and Tables

Table 1

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

VLPP: Valsalva leak point pressure

Table 2

Operative procedures combined with SPARC

SPARC: suprapubic arc

Table 3

Clinical outcomes of the SPARC procedures

SPARC: suprapubic arc, SUI: stress urinary incontinence, NS: no significant

Table 4

Comparison of the postoperative result according to the VLPP

VLPP: Valsalva leak point pressure, NS: no significant

Table 5

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

NS: no significant

Table 6

Complications of the SPARC procedure

SPARC: suprapubic arc

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