Suitability of Concomitant Surgical Treatment of Genital Prolapse and Associated Occult Stress Urinary Incontinence
نویسندگان
چکیده
Hypothesis / aims of study In view of the pathophysiology of pelvic floor defects, it is easy to understand that dystopia or prolapse should be investigated in close connnection to stress urinary incontinence (SUI), as both have a common pathophysiology: weak pelvic floor support. It seems clear that a patient with prolapse plus manifest SUI should be treated for both concomitantly. An issue arises, however, in a subgroup with pelvic organ prolapse and occult stress urinary incontinence (OSUI) (i.e., UI only seen when prolapse is manually reduced in the consultation). What is the best approach? Should joint surgery be performed for both problems or should only prolapse surgery be done in the hope that reconstruction of the pelvic floor anatomy will also correct the latent stress incontinence with no need to add an anti-incontinence technique? At present, the problem remains unresolved and various clinical trials are in progress, in an attempt to clarify this issue. The aim of this paper is to review the literature on a problem often encountered in clinical practice: should an anti-incontinence technique be added in patients with occult urinary incontinence who undergo surgery for pelvic organ prolapse?
منابع مشابه
Protocol for the CUPIDO trials; multicenter randomized controlled trials to assess the value of combining prolapse surgery and incontinence surgery in patients with genital prolapse and evident stress incontinence (CUPIDO I) and in patients with genital prolapse and occult stress incontinence (CUPIDO II)
BACKGROUND About 40% of all patients with genital prolapse report stress-incontinence. In about half of the 60% patients that do not report stress-incontinence, occult urinary stress-incontinence can be detected. In these patients stress-incontinence is masked due to kinking or compression of the urethra by the prolapse.In case surgical correction is indicated there are two strategies to manage...
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متن کامل588-591-Huaifang Li
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