title: Long-term follow-up of surgery for urinary incontinence in elderly women.
abstract: This study reviews the 3- to 5-year follow-up of 35 elderly women treated by colposuspension for incontinence due to urethral sphincter incompetence (genuine stress incontinence). All patients had pre- and post-operative urodynamic studies and were followed up annually by clinical assessment and Urilos test. Thirty-two patients were subjectively cured and 31 objectively cured. Cystocele was corrected by the colposuspension. Rectocele and enterocele were frequently encountered at follow-up and prophylactic closure of the pouch of Douglas or posterior repair were recommended. Although the peak urine flow rate measurements at follow-up were reduced, no patient encountered difficulty in bladder emptying. The low operative and post-operative morbidity rate was due to careful pre-operative medical selection.
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006547:Hernia / Q000209:etiology; D006801:Humans; D007431:Intraoperative Complications; D011183:Postoperative Complications; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics; D014623:Vaginal Diseases / Q000209:etiology