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Persistent detrusor instability after surgery for concomitant stress incontinence and detrusor instability: A review

✍ Scribed by M. E. Vierhout; A. F. P. Mulder

Publisher
Springer
Year
1993
Tongue
English
Weight
313 KB
Volume
4
Category
Article
ISSN
0937-3462

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✦ Synopsis

Persistent detrusor instability (DI) is a major risk factor in the surgery of stress urinary incontinence with concomitant DI. The authors analysed 10 studies with a total of 256 patients with stress incontinence and detrusor instability who routinely underwent pre-and postoperative urodynamic analysis. 136 patients were still unstable after surgery (53%). The percentage of persistent DI varied between 15% and 89%. The cure rate varied between 22% and 96% (median 42%). The high level of persistent incontinence does not necessarily mean that the stress incontinence is not being cured by the procedure. The DI which persists after the operation is likely to be responsible for the poor results in this group.

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