Colposuspension in patients with combined stress incontinence and detrusor instability.
Thirty women with combined urinary stress incontinence and detrusor instability were treated by a colposuspension operation for urinary incontinence. Following surgery we found a significant reduction of symptoms regarding detrusor instability, from 22/30 patients preoperatively (73.3%) to 10/30 patients (33.3%). Urodynamically, 40% of the patients had detrusor instability following surgery. Only one surgical failure was encountered (3.3%). It is suggested that patients with combined detrusor instability and stress incontinence should be operated on. This group of patients was cured as far as stress incontinence is considered, and 60% of the patients presented normal cystometric findings and more than 50% of the patients (12/22) greatly improved clinically, regarding symptoms of detrusor instability, following surgery.
Langer
R
R
Department of Obstetrics and Gynecology, Assaf Harofe Medical Centre, Tel Aviv University, Zerifin, Israel.
Ron-El
R
R
Bukovsky
I
I
Caspi
E
E
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D001743:Urinary Bladder / Q000503:physiopathology; D001750:Urinary Bladder, Neurogenic / Q000503:physiopathology / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics