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Colposuspension in Treatment of Genuine Stress Incontinence
Author(s) -
Rizvi Javed H.,
Awad Mohammad E. L.,
Stobbart David
Publication year - 1988
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1988.tb00128.x
Subject(s) - medicine , detrusor instability , stress incontinence , surgery , cure rate , urinary incontinence , residual urine , sphincter , urology , prostate , cancer
Abstract Colposuspension is a popular operation for treatment of genuine stress incontinence (urethral sphincter incompetence). In this study our experience with the use of this operation is described. Sixty‐two patients were selected for colposuspension on the basis of history, clinical findings and urodynamic studies. The results of this operation were evaluated in the immediate post‐operative period and 6 weeks after surgery. Long term evaluation included urodynamic studies 3–6 months after operation and then yearly follow up for 3 years. The overall cure rate was 88.7%. Twenty patients had previous surgery for incontinence, in this group the cure rate was 80%. Twenty percent of patients were able to void urine spontaneously on the 4th day. However, 90% of patients were passing urine normally by the 10th post‐operative day. Three percent of patients had long term voiding difficulties with poor flow rates and residual urine of over 100 m l. A similar percentage (3.2%) had developed detrusor instability secondary to the operation. Long term follow up showed that the incidence of development of high rectocele, enterocele and uterine prolapse was 5%. We confirm that, colposuspension is an effective operation for treatment of genuine stress incontinence; the success rates are high but the selection of patients is critical. They have to be selected carefully in order to avoid immediate complications of retention of urine and late complications of voiding difficulty and appearance of enterocele, high rectocele and uterine prolapse.