Vaginal repair in female motor urge incontinence.
Sixteen consecutive female patients with motor urge incontinence underwent vaginal repair operation. The patients were reevaluated after a mean follow-up of 37 months (range 8-72 months). Detrusor instability disappeared in only 31% of the patients after surgery which corresponds to the subjective and the objective cure rate. High pressure instability (contractions greater than or equal to 25 cm H2O) and/or a high instability index (greater than 1) were found to predict significantly a very poor prognosis. It is concluded that vaginal repair is an ineffective surgical procedure in patients with motor urge incontinence.
Jørgensen
L
L
Department of Surgery D, Rigshospitalet, University of Copenhagen, Denmark.
Lose
G
G
Mølsted-Pedersen
L
L
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008722:Methods; D008875:Middle Aged; D011379:Prognosis; D014549:Urinary Incontinence / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery; D014621:Vagina / Q000601:surgery*