Incontinence surgery in females with motor urge incontinence.
Forty-one consecutive female patients were operated on despite the finding of motor urge incontinence; they were reinvestigated six months to two years after operation. Seventeen of the patients had associated symptomatic genital prolapse and were operated without previous pharmacological treatment. The remaining 24 patients were resistant to parasympatholytic treatment. The method of operation was based on vaginal examination and evaluation of bladder suspension defect at voiding-cystourethrography. Cure and improvement rate was 73 per cent. Cystometry was normalized in 30 per cent of all patients and in 45 per cent of patients with preoperative detrusor instability on provocation only. Disappearance of detrusor instability as well as normalization of a bladder suspension defect was associated with a good result. Motor urge incontinence should not contraindicate incontinence surgery on females selected and treated as in the present study.
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D001743:Urinary Bladder / Q000601:surgery; D014549:Urinary Incontinence / Q000175:diagnosis / Q000601:surgery*