Abstract
Full urodynamic assessment, including urethral profiles at rest and under stress, was made before and after surgery for severe urogenital prolapse in 40 continent women. Profilometry was also recorded after reduction of the prolapse by a vaginal pessary. The aim of this study was to try to determine criteria to prevent postoperative incontinence. After surgery, 6 patients (15%) became stress incontinent. The operation tends to diminish urethral obstruction (diminution of the residual volume) and negatively affects urodynamic urethral parameters (diminution of the residual continence area). The pessary test was not predictive of postoperative incontinence. Preoperative transmission ratio <100% and/or maximum urethral closure pressure <35 cmH2O are proposed as predisposing factors for postoperative iatrogenic incontinence. Therapeutic implications are discussed.
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Weil, A., Gianoni, A., Rottenberg, R.D. et al. The risk of postoperative urinary incontinence after surgical treatment of genital prolapse. Int Urogynecol J 4, 74–79 (1993). https://doi.org/10.1007/BF00376416
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DOI: https://doi.org/10.1007/BF00376416