Abstract
The authors objectively evaluated a vaginal retropubic urethropexy for treatment of potential genuine stress urinary incontinence in patients undergoing surgical correction of severe uterovaginal prolapse. Fifteen women were evaluated preoperatively, with a history and physical examination, cystourethroscopy, urethral pressure profilometry, pressure-voiding studies and multichannel cystometry. Eleven women agreed to a follow-up physical examination and 10 agreed to multichannel urodynamics 1 year postoperatively. Five of the 11 patients were noted to have objective stress loss, but only 2 of these reported subjective incontinence. The maximal urethral closure pressure preoperatively was 38±12 cmH2O, and 1 year postoperatively it was 46±17 cmH2O, which was not statistically significant. The functional urethral length was 1.9±0.7 cm preoperatively and 1.8±0.5 cm 1 year postoperatively, which was also not statistically significant. The Q-tip test went from 68±23° preoperatively to 39±19° 1 year postoperatively. This was statistically but not clinically significant. This procedure was not proved to be effective in correcting potential GSI, and cannot therefore be recommended.
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Swift, S.E., Ostergard, D.R. Vaginal wall retropubic urethropexy: Results at 1-year follow-up. Int Urogynecol J 5, 291–295 (1994). https://doi.org/10.1007/BF00376244
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DOI: https://doi.org/10.1007/BF00376244