Open AccessTHE EFFECTS OF VAGINAL REPAIR ON ANTERIOR BLADDER SUSPENSION DEFECTS
Author(s) -
Meyhoff H. H.,
Nully M. B.,
Olesen K. P.,
Lindahl F.
Publication year - 1985
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016348509155162
Subject(s) - medicine , urinary incontinence , stress incontinence , surgery , urge incontinence , urinary system , radiological weapon , vagina , sex organ , urology , biology , genetics
. In 22 patients with anterior bladder suspension defect as judged by colpocysto‐urethrography (CCU) a vaginal repair was undertaken. In 14 patients urinary stress or urge and stress incontinence was the indication for operation, and in 8, genital prolapse. At follow‐up more than 6 months postoperatively the CCU was repeated and a clinical evaluation undertaken. A normalization of the CCU was obtained in only 6 patients and 10 showed a less severe suspension defect. Nine of 14 patients were cured of incontinence. Only 3 of these had a normal follow‐up CCU. Improvement of bladder suspension defect was not the sole responsible factor for postoperative continence. Urinary incontinence developed postoperatively in 2 of 8 patients operated on solely because of symptomatic genital prolapse. Very high cure rates for urinary incontinence have been reported following a colposuspension operation. A vaginal repair is not recommended as first‐choice operation in incontinent females with anterior bladder suspension defects, if a CCU may be undertaken and the colposuspension technique is mastered.