Document Detail

The significance of prior anti-incontinence surgery in women who present with urinary incontinence.
MedLine Citation:
PMID:  3411664     Owner:  NLM     Status:  MEDLINE    
In a series of 148 consecutive female patients with urinary incontinence 62 (group 1) had undergone 1 or more prior anti-incontinence operations and 86 (group 2) had none. After clinical and urodynamic assessment the incidence of detrusor instability in the 2 groups (44 and 51 per cent) was not significantly different but the incidence of stress incontinence in group 1 was significantly greater than in group 2 (58 and 38 per cent, p less than 0.05). Of the 69 patients with a final diagnosis of stress urinary incontinence 45 (24 in group 1) had surgery and were followed for a mean of 17 months postoperatively. Of the patients 43 (95 per cent) were cured or improved. A total of 17 patients (71 per cent) in group 1 and 3 (17 per cent) in group 2 had a fascial sling. Eight patients had symptomatic postoperative detrusor instability and all had a fascial sling. There also was a significant decrease in postoperative peak flow rate (p less than 0.01) in these patients. Neither the number of previous operations nor the presence of preoperative detrusor instability had a significant effect on the incidence of postoperative detrusor instability.
S A Awad; H D Flood; K L Acker
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  140     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1988 Sep 
Date Detail:
Created Date:  1988-09-28     Completed Date:  1988-09-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  514-7     Citation Subset:  AIM; IM    
Department of Urology, Victoria General Hospital, Halifax, Nova Scotia, Canada.
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MeSH Terms
Risk Factors
Urinary Bladder / physiopathology
Urinary Incontinence, Stress / physiopathology,  surgery*
Comment In:
J Urol. 1989 Nov;142(5):1334-5   [PMID:  2810527 ]

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