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Surgical treatment of stress urinary incontinence after radical hysterectomy

✍ Scribed by G. Ralph; K. Tamussino

Publisher
Springer
Year
1992
Tongue
English
Weight
400 KB
Volume
3
Category
Article
ISSN
0937-3462

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✦ Synopsis

Stress urinary incontinence is not infrequent after radical hysterectomy for cervical cancer. Eight women who underwent surgery for correction of stress incontinence after radical hysterectomy were studied with urodynamic techniques before and 1 year after incontinence surgery. Five patients underwent a Marshall-Marchetti-Krantz (MMK) operation, 1 a Burch colposuspension, 1 a sling procedure and 1 an anterior repair. Two patients remained incontinent after an MMK operation, as did the patient who had an anterior repair. The patient who underwent a sling procedure had to practice intermittent selfcatheterization. We conclude that an appropriate operation can cure stress incontinence after radical hysterectomy, but that patients should be selected carefully.

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## Abstract ## Aims To test whether symptoms of urinary incontinence after radical hysterectomy could be objectified with urodynamics and ultrasound. ## Methods This case‐control study comprised 100 women who underwent radical hysterectomy for cervical cancer without post‐operative radiotherapy.