Need for sling surgery in patients with large cystoceles and masked stress urinary incontinence

International Journal of Urology : Official Journal of the Japanese Urological Association
T YamadaH Saitoh

Abstract

We studied the need for sling surgery in patients who suffered from large cystoceles and masked stress urinary incontinence. Twenty patients who had large cystoceles but neither evidence nor history of stress incontinence were enrolled in this study. The cystocele was reduced using a reducing device. Masked urinary incontinence was identified by a 60 m pad weighing test and a stress test. The cystocele was reduced using a pessary ring in 14 patients, or a vaginal pack formed of two rolls of ordinary 28 x 28 cm gauze in six patients. Ten of 20 patients were diagnosed with masked stress urinary incontinence and were treated with anterior colporrhaphy and a suburethral sling procedure. The other 10 patients were continent after use of a cystocele reducing device and were treated with anterior colporrhaphy alone. Average follow-up periods of the patients with or without masked stress urinary incontinence were 51.2 months (range, 24.0-72.0 months) or 57.6 months (range, 27.0-70.0 months), respectively. One of the 10 patients diagnosed with masked stress incontinence had mild stress urinary incontinence postoperatively. None of the 10 continent patients had stress incontinence after anterior colporrhaphy alone. Reducing devices of pr...Continue Reading

References

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Citations

Nov 23, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·Jan-Paul W R Roovers, Matthias Oelke
Oct 22, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·B Fatton
Feb 10, 2010·Journal de gynécologie, obstétrique et biologie de la reproduction·B Fatton, C Nadeau

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