Urodynamic and radiologic results after surgical treatment of female stress urinary incontinence

Dellas, Athanassios and Drewe, Jürgen and Dellas, Sophie and Almendral, Alfonso C.. (1995) Urodynamic and radiologic results after surgical treatment of female stress urinary incontinence. International urogynecology journal, 6 (3). pp. 153-157.

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Between 1985 and 1991, 88 patients underwent abdominal colposuspension and a further 50 were treated with anterior colporrhaphy. Both preoperatively and 6 months after the operation the following were evaluated: the grade of incontinence, the posterior urethral vesical angle measured by voiding cystourethrogram, and the maximum urethral closure pressure (MUCP) at rest and during stress as measured by cystometry. At 1 year the colposuspension patients had a 69% success rate and the cure rate for anterior colporrhaphy was 38%. In postoperatively continent women the urethrovesical junction was significantly better elevated above the lower edge of the symphysis than in patients where the incontinence recurred postoperatively. The higher the urethrovesical junction was suspended, the more the MUCP during stress was increased. Treatment of genuine stress incontinence is best accomplished by retropubic colposuspension, with or without anterior colporrhaphy for coexisting cystocele.
Faculties and Departments:03 Faculty of Medicine
03 Faculty of Medicine > Bereich Spezialfächer (Klinik) > Gynäkologie und Geburtshilfe
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Spezialfächer (Klinik) > Gynäkologie und Geburtshilfe
UniBasel Contributors:Dellas, Athanassios
Item Type:Article, refereed
Article Subtype:Research Article
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:26 Sep 2017 07:43
Deposited On:22 Mar 2012 13:37

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