Urodynamic investigation of women operated on for genuine stress incontinence.
Anterior colporrhaphy (Kelly-Stoeckel suture) was performed on 22 women suffering from grade-I or grade-II genuine stress incontinence. Urodynamic investigation was performed on every patient before surgery and 6 months postoperatively. 21 patients were cured and 1 patient improved. After operation the functional urethral length was increased by 28.8%, and urethrovesical pressure transmission was improved by 22.9%. Maximum urethral closure pressure decreased postoperatively by 21.1%. Pressure transmission was clearly improved by the surgical intervention and urinary continence was restored in spite of the fact that maximal urethral closure pressure decreased. Based on these results it is suggested to consider performing anterior colporrhaphy in cases of weak urethral closure pressure, because of the increased risk of worsening the complaints of these patients.
Matányi
S
S
2nd Department of Obstetrics and Gynaecology, Semmelweis University School of Medicine, Budapest, Hungary.
Acs
N
N
Fontányi
Z
Z
Paulin
F
F
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011184:Postoperative Period; D011312:Pressure; D013536:Suture Techniques; D016896:Treatment Outcome; D014521:Urethra / Q000473:pathology / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery*; D014563:Urodynamics