[Treatment of stress incontinence with total prolapse of the uterus].
40 women (average age 65 years) who underwent vaginal hysterectomy and colpoperineoplasty for total prolapse of the uterus with (26) or without Stamey's procedure (14), were tested urodynamically before and 14 months after surgery. 6/14 (43%) women were clinically and urodynamically continent after vaginal hysterectomy and anterior and posterior repair, compared to 20/24 (83%) after an additional Stamey's procedure. The pressure transmission ratio was significantly improved after both procedures (p = 0.05). These results indicate that anatomic correction does not suffice to correct latent stress urinary incontinence in patients with uterovaginal prolapse. Endoscopic suspension of the bladder neck seems to be a successful method in these cases. The transmission ratio was improved by both operative procedures. The results show, that colpoperineoplasty alone cannot correct stress incontinence in patients with total prolapse of the uterus. In such cases Stamey's procedure is a successful method.
Ralph
G
G
Geburtshilflich-gynäkologische Universitätsklinik Graz.
Tamussino
K
K
Michelitsch
L
L
D000368:Aged; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D008875:Middle Aged; D011183:Postoperative Complications / Q000503:physiopathology; D014521:Urethra / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics / Q000502:physiology; D014596:Uterine Prolapse / Q000503:physiopathology / Q000601:surgery*
Die Behandlung der Stressinkontinenz bei Totalprolaps des Uterus.