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Article: Clinical study on concomitant surgery for stress urinary incontinence and pelvic organ prolapse

TitleClinical study on concomitant surgery for stress urinary incontinence and pelvic organ prolapse
Authors
KeywordsYuan, Z.Y.
Department Of Urology, West China Hospital, Sichuan University, Chengdu 610041, China., © Medline® Is The Source For The Citation And Abstract Of This Record.
Issue Date2008
Citation
Zhonghua wai ke za zhi [Chinese journal of surgery], 2008, v. 46 n. 20, p. 1533-1535 How to Cite?
AbstractOBJECTIVE: To discuss indications and therapeutic effects of concomitant surgery for stress urinary incontinence (SUI) and pelvic organ prolapse (POP) through a retrospective clinical review. METHOD: A retrospective review of the data of 16 women undergoing concomitant surgery for SUI and POP was available for analysis. In these cases, 12 patients presented with SUI symptoms associated with moderate or severe anterior vaginal wall prolapse; 4 patients had moderate or severe uterine prolapse associated with dysuria. All cases were confirmed to have type II stress urinary incontinence by preoperative physical examination, urodynamic study and cystography. The surgical procedures for pelvic floor repair included the placement of Gynemesh mesh implant, anterior or total Prolift mesh implant. The tension-free vaginal tape (TVT) or transvaginal tension free vaginal tape-obturator (TVT-O) was used for the anti-incontinence procedure. During the concurrent surgical procedures, pelvic floor repair was performed first. RESULTS: Followed up from 6 to 30 months, all cases got satisfactory results. After the procedure, the patients achieved complete continence without occurrence of dysuria or recurrence of POP. CONCLUSIONS: Stress incontinence and pelvic organ prolapse share common pathophysiologic etiologies and often coexist with one another. In SUI patients with symptomatic or moderate to severe POP, concurrent POP surgery should be performed actively at the time of incontinence surgery to prevent POP exacerbation and the occurrence of dysuria; while in patients with sole POP, occult SUI should be considered, and concomitant prophylactic incontinence measures should be taken at the time of POP repair to prevent the postoperative unmasking of SUI.
Persistent Identifierhttp://hdl.handle.net/10722/92279
ISSN
2015 SCImago Journal Rankings: 0.133

 

DC FieldValueLanguage
dc.contributor.authorYUAN, ZYen_HK
dc.contributor.authorDAI, Yen_HK
dc.contributor.authorCHEN, Yen_HK
dc.contributor.authorWEI, Qen_HK
dc.contributor.authorSHEN, Hen_HK
dc.date.accessioned2010-09-17T10:41:21Z-
dc.date.available2010-09-17T10:41:21Z-
dc.date.issued2008en_HK
dc.identifier.citationZhonghua wai ke za zhi [Chinese journal of surgery], 2008, v. 46 n. 20, p. 1533-1535en_HK
dc.identifier.issn0529-5815en_HK
dc.identifier.urihttp://hdl.handle.net/10722/92279-
dc.description.abstractOBJECTIVE: To discuss indications and therapeutic effects of concomitant surgery for stress urinary incontinence (SUI) and pelvic organ prolapse (POP) through a retrospective clinical review. METHOD: A retrospective review of the data of 16 women undergoing concomitant surgery for SUI and POP was available for analysis. In these cases, 12 patients presented with SUI symptoms associated with moderate or severe anterior vaginal wall prolapse; 4 patients had moderate or severe uterine prolapse associated with dysuria. All cases were confirmed to have type II stress urinary incontinence by preoperative physical examination, urodynamic study and cystography. The surgical procedures for pelvic floor repair included the placement of Gynemesh mesh implant, anterior or total Prolift mesh implant. The tension-free vaginal tape (TVT) or transvaginal tension free vaginal tape-obturator (TVT-O) was used for the anti-incontinence procedure. During the concurrent surgical procedures, pelvic floor repair was performed first. RESULTS: Followed up from 6 to 30 months, all cases got satisfactory results. After the procedure, the patients achieved complete continence without occurrence of dysuria or recurrence of POP. CONCLUSIONS: Stress incontinence and pelvic organ prolapse share common pathophysiologic etiologies and often coexist with one another. In SUI patients with symptomatic or moderate to severe POP, concurrent POP surgery should be performed actively at the time of incontinence surgery to prevent POP exacerbation and the occurrence of dysuria; while in patients with sole POP, occult SUI should be considered, and concomitant prophylactic incontinence measures should be taken at the time of POP repair to prevent the postoperative unmasking of SUI.en_HK
dc.languageengen_HK
dc.relation.ispartofZhonghua wai ke za zhi [Chinese journal of surgery]en_HK
dc.subjectYuan, Z.Y.en_HK
dc.subjectDepartment Of Urology, West China Hospital, Sichuan University, Chengdu 610041, China., © Medline® Is The Source For The Citation And Abstract Of This Record.en_HK
dc.titleClinical study on concomitant surgery for stress urinary incontinence and pelvic organ prolapseen_HK
dc.typeArticleen_HK
dc.identifier.emailChen, Y:ychenc@hkucc.hku.hken_HK
dc.identifier.authorityChen, Y=rp1318en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid19094645-
dc.identifier.scopuseid_2-s2.0-64849090037en_HK
dc.identifier.volume46en_HK
dc.identifier.issue20en_HK
dc.identifier.spage1533en_HK
dc.identifier.epage1535en_HK

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