| The significance of prior anti-incontinence surgery in women who present with urinary incontinence. | |
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MedLine Citation:
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PMID: 3411664 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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S A Awad; H D Flood; K L Acker |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of urology Volume: 140 ISSN: 0022-5347 ISO Abbreviation: J. Urol. Publication Date: 1988 Sep |
Date Detail:
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Created Date: 1988-09-28 Completed Date: 1988-09-28 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0376374 Medline TA: J Urol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 514-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Urology, Victoria General Hospital, Halifax, Nova Scotia, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Female Humans Methods Recurrence Reoperation Risk Factors Urinary Bladder / physiopathology Urinary Incontinence, Stress / physiopathology, surgery* Urodynamics |
| Comments/Corrections | |
Comment In:
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J Urol. 1989 Nov;142(5):1334-5
[PMID:
2810527
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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