Abstract
Combined stress urinary incontinence (SUI) and genital prolapse after fracture of the female pelvis has not been well described to date; four such cases are reported. Three of the patients had undergone reconstructive urogynecologic surgery prior to referral. None of the patients had a history of urinary incontinence or genital prolapse prior to injury. In order to correct persistent urinary incontinence and prolapse the following operations were performed: pubovaginal sling and transvaginal cystocele repair, Raz needle suspension and rectus muscle graft to the pelvic floor followed by a unilateral Burch colposuspension. On follow-up at a mean interval of 14.2 months (range 12–17), 2 have mild SUI and all 4 are without significant genital prolapse.
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Fitzpatrick, C.C., Swierzewski, S.J., DeLancey, J.O.L. et al. Stress urinary incontinence and genital trauma after female pelvic trauma. Int Urogynecol J 4, 301–303 (1993). https://doi.org/10.1007/BF00372744
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DOI: https://doi.org/10.1007/BF00372744