[Neuro-urodynamic sequelae of vaginal continence surgery].
This study aimed to investigate the influence of anterior repair on pudendal nerve terminal motor latency. Neurourodynamic investigation (urethral profilometry, measurement of pudendal nerve terminal motor latency according to the method of Snooks and Swash) was performed before and 8 weeks after anterior repair (n = 14) and before and after additional endoscopic bladder neck suspension (n = 23). Stress incontinence and pudendal neuropathy were found preoperatively in all patients. In 17/37 (48%) of patients who were incontinent postoperatively the pudendal nerve latency was significantly prolonged.
Geburtshilflich-gynäkologische Universitätsklinik Graz, Osterreich.
F
F
Zivkovic
G
G
Ralph
G
G
Schied
K
K
Tamussino
D004558:Electric Stimulation; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D010525:Peripheral Nerves / Q000503:physiopathology*; D011183:Postoperative Complications / Q000503:physiopathology; D011930:Reaction Time / Q000502:physiology; D009435:Synaptic Transmission / Q000502:physiology*; D014521:Urethra / Q000294:innervation*; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics / Q000502:physiology*; D014621:Vagina / Q000294:innervation / Q000601:surgery*
Die neurourodynamischen Folgen der vaginalen Kontinenzchirurgie.