PMID: 15217169Jun 26, 2004Paper

Long term results of anterior colporrhaphy with Kelly plication for the treatment of stress urinary incontinence

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Yuthadej ThaweekulApirak Santingamkun

Abstract

To study the five years' outcome of anterior colporrhaphy with Kelly plication for the treatment of stress urinary incontinence Fifty two patients who underwent anterior colporrhaphy with Kelly plication with or without posterior colpoperineorrhapy for the treatment of stress urinary incontinence between January 1997 and February 1998 in King Chulalongkorn Memorial hospital were included in the study. All patients were contacted by phone, forty seven patients (90.38%) responded and were willing to participate in the present study. The patients' characteristics, operative data and outcome were reviewed. Questionnaires designed to assess the outcomes of the procedure and incontinence symptoms were given to each patient at the appointment date. Pelvic examination was performed using the Baden halfway classification for genital prolapse grading. Cough test was performed during pelvic examination for the objective demonstration of stress incontinence. The mean +/- SD of age was 46.68 +/- 8.78 yrs. The authors found that the incidence of post operative urinary retention was 43.3%. Incontinence rates at 1, 2, 3, 4 and 5 years were 0, 8.51%, 21.28%, 29.79% and 46.81% respectively. The present results show the high recurrence rate at th...Continue Reading

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