Postoperative funneling after anti-incontinence surgery--a prognostic indicator?--Part 1: colposuspension

Neurourology and Urodynamics
C SkalaV Viereck

Abstract

How does funneling of the bladder neck after open colposuspension affect the postoperative cure rate? In a retrospective study, 310 patients who underwent primary colposuspension for urodynamically proven genuine stress urinary incontinence were assessed by introital ultrasound before and immediately after surgery as well as at 6, 12, 24, 36, and 48 months. A total of 152 women completed 48-month follow-up. Objective cure rates at the different follow-up times were calculated and correlated with the presence of postoperative bladder neck funneling. The objective cure rate up to 6 months after colposuspension was 90.0 versus 76.8% up to 48-month follow-up. Urge symptoms occurred in 11.6% (36/310) of the women and de novo urge incontinence in 1.6% (5/310). Bladder neck funneling was significantly reduced after anti-incontinence surgery, from 55.2% before surgery to 12.3% (38/310) at 6-month follow-up (P < 0.0001). Postoperative funneling was associated with a higher recurrence rate. In the funneling group, 58.8 and 40.6% of the patients were continent up to 6 and 48 months, respectively, as opposed to 93.8 and 81.3% in the group without funneling (P < 0.0001). Urgency and de novo urge incontinence were more common in the funnelin...Continue Reading

References

Jan 1, 1990·Acta Obstetricia Et Gynecologica Scandinavica. Supplement·P E Petros, U I Ulmsten
May 1, 1990·Journal of Clinical Ultrasound : JCU·H KoelblJ Deutinger
Mar 1, 1990·British Journal of Obstetrics and Gynaecology
Jan 1, 1990·Acta Obstetricia Et Gynecologica Scandinavica·B C EriksenI Romslo
Oct 1, 1980·British Journal of Obstetrics and Gynaecology·G J JarvisA Johnson
Sep 1, 1995·British Journal of Obstetrics and Gynaecology·M AlcalayS L Stanton
Jul 1, 1995·Obstetrics and Gynecology·S E Swift, D R Ostergard
Feb 1, 1995·Obstetrics and Gynecology·G N SchaerU Haller
Jan 1, 1996·International Urogynecology Journal and Pelvic Floor Dysfunction·U UlmstenG Varhos
Jan 1, 1996·International Urogynecology Journal and Pelvic Floor Dysfunction·G SchaerE Grischke
Oct 1, 1996·British Journal of Urology·N A Black, S H Downs
Jan 9, 1998·British Journal of Obstetrics and Gynaecology·C J KelleherS Salvatore
Sep 29, 1998·The Journal of Urology·D C ChaikinJ G Blaivas
Mar 13, 1999·Obstetrics and Gynecology·G N SchaerJ O Delancey
Feb 19, 2000·Neurourology and Urodynamics·A GroutzJ E Rosenthal
Jan 9, 2001·International Urogynecology Journal and Pelvic Floor Dysfunction·H P Dietz, P D Wilson
Apr 11, 2001·International Urogynecology Journal and Pelvic Floor Dysfunction·M A Harvey, E Versi
Apr 11, 2001·International Urogynecology Journal and Pelvic Floor Dysfunction·H P Dietz, B Clarke
Jul 14, 2001·International Urogynecology Journal and Pelvic Floor Dysfunction·C G NilssonU Ulmsten
Sep 25, 2001·International Urogynecology Journal and Pelvic Floor Dysfunction·H P DietzB T Haylen
Aug 1, 1962·American Journal of Obstetrics and Gynecology·G NARIK, A H PALMRICH
Oct 17, 2003·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·V ViereckT Krauss

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Citations

Mar 16, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·Volker ViereckGünter Emons
Jul 19, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·Lena HarmsVolker Viereck
Mar 6, 2010·International Urogynecology Journal·Jacek KociszewskiVolker Viereck
Jun 1, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·Volker ViereckGünter Emons
Feb 22, 2008·Neurourology and Urodynamics·Jacek KociszewskiVolker Viereck
Mar 22, 2008·American Journal of Obstetrics and Gynecology·Yuko M KomesuJennifer Pohl
Mar 1, 2005·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J-M YangW-C Huang
Jul 11, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J MasataM Pavlikova
Jul 22, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·V ViereckG Emons

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