The risk of urinary stress incontinence after anterior repair

✍ Scribed by Ellen Borstad

• Publisher: Springer
• Year: 1992
• Tongue: English
• Weight: 508 KB
• Volume: 3
• Category: Article
• ISSN: 0937-3462
• DOI: 10.1007/bf00455100

✦ Synopsis

Several reports have dealt with urinary stress incontinence in women who also have genitourinary prolapse. The problem of stress incontinence as a complication after anterior repair in previously continent women, has received little attention. This paper is a review of the problem of urinary stress incontinence after treatment for genitourinary prolapse. Most studies based on objective criteria for continence show an occurrence of approximately 20% of stress incontinence following an otherwise successful anterior repair. Various theories for the mechanism responsible have been suggested. Most authors agree, however, that the lack of elevation of the bladder neck and/or a too tight repositioning of the bladder is responsible for the development of incontinence following anterior repair. A preoperative barrier test seems useful in selecting patients who require an additional bladder neck suspension.