Genital prolapse and stress incontinence: Conservative and operative approaches

Baessler, K. and Maher, C. (2013) Genital prolapse and stress incontinence: Conservative and operative approaches. Gynakologe, 46 7: 453-457. doi:10.1007/s00129-012-3122-6

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Author Baessler, K.
Maher, C.
Title Genital prolapse and stress incontinence: Conservative and operative approaches
Journal name Gynakologe   Check publisher's open access policy
ISSN 0017-5994
1433-0393
Publication date 2013
Sub-type Article (original research)
DOI 10.1007/s00129-012-3122-6
Open Access Status
Volume 46
Issue 7
Start page 453
End page 457
Total pages 5
Place of publication Heidelberg, Germany
Publisher Springer
Collection year 2014
Language eng
Subject 2729 Obstetrics and Gynaecology
Abstract Bladder dysfunction including stress urinary incontinence is common in women with pelvic organ prolapse. Pelvic floor exercises and pessaries may be successful in alleviating prolapse and incontinence symptoms. After anterior repair, 48% of preoperatively stress incontinent women are continent, 61% after transobturator mesh operations. Additional suburethral sling insertion considerably increases postoperative continence rates. In women with occult stress incontinence, concomitant placement of a suburethral tape also improves success rates for stress incontinence. The subethral sling may be inserted concomitantly or three months after prolapse surgery with similar results. However, nearly one third of women declined the suburethral tape because they were dry after anterior repair. Continent women with prolapse develop stress incontinence in 9% after anterior repair and in 14% after transobturator mesh implantation. In summary, women with occult or symptomatic stress incontinence benefit from additional suburethral tape insertion. However, almost one third of women will receive an unnecessary operation and delayed continence surgery should be considered.
Keyword Informed consent
Pelvic floor
Pessary
Prolapse
Urinary incontinence
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
 
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Created: Sun, 27 Apr 2014, 11:20:54 EST by Matthew Lamb on behalf of School of Medicine