The use of the kelly plication for the prevention and treatment of genuine stress urinary incontinence in patients undergoing surgery for genital prolapse
β Scribed by G. Pelusi; P. Busacchi; F. Demaria; A. M. Rinaldi
- Publisher
- Springer
- Year
- 1990
- Tongue
- English
- Weight
- 439 KB
- Volume
- 1
- Category
- Article
- ISSN
- 0937-3462
No coin nor oath required. For personal study only.
β¦ Synopsis
EDITORIAL COMMENT*: The authors from the University of Bologna have reported a series of 264 patients surgically treated for genital prolapse (with or without coexistent stress incontinence). They have used a Kelly plication to treat those patients with coexistent stress incontinence and the same procedure to prevent the new development of stress incontinence in those patients without stress incontinence prior to surgery. They have reported a success rate of 88.5% in 104 patients by curing or significantly improving their stress incontinence. They prevented the new development of genuine stress incontinence in 96.9% of 160 patients who did not have genuine stress incontinence prior to the prolapse surgery. The authors have focused on the recreation of the posterior urethrovesical angle by the two Kelly-type sutures, but they do not give precise information on the depth to which they placed these sutures in the pubocervical fascia under the proximal urethra nor do they indicate how they surgically managed the cystocele component of anterior vaginal wall prolapse. However, their results are good, especially considering the fact that they have used No. 1 chromic catgut for their Kelly-type sutures. They reported that the Bonney test was positive prior to surgery in all patients presenting with stress incontinence. The Bonney test is always positive if one pushes hard enough with the fingers applied to the puboeervical fascia straddling the urethra. The Bonney test is therefore of questionable value in assessing patients with genuine stress incontinence of urine.
π SIMILAR VOLUMES
## Abstract ## Aims The Questionnaire for Urinary Incontinence Diagnosis (QUID), a 6βitem urinary incontinence (UI) symptom questionnaire, was developed and validated to distinguish stress and urge UI. This study's objective was to evaluate QUID validity and responsiveness when used as a clinical