alexa Surgical treatment of mixed and urge urinary incontinence in women.


Journal of Gerontology & Geriatric Research

Author(s): Jger W, Mirenska O, Brgge S

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Abstract BACKGROUND/AIMS: The etiology of urge urinary incontinence is unknown. Pharmacological treatments are disappointing, since they are only slightly more effective than a placebo. In this study, we analyzed whether the surgical replacement of the uterosacral ligaments by an alloplastic tape can cure patients with mixed and urge urinary incontinence. METHODS: This study was a nonrandomized clinical trial. The study was performed in the Department of Gynecology of a general hospital and a university clinic. 135 women with urge or mixed urinary incontinence were operated on. The utero-sacral ligaments as well as the pubo-urethral ligaments - if necessary - were replaced by alloplastic tapes. Clinical outcome was evaluated immediately after surgery, 3 months later and 1 year later. Outcome was classified as cure, improvement or failure and recurrences. RESULTS: 102 patients (77\%) were cured and a further 24 patients (18\%) showed improvement after surgery. 19 patients developed a recurrence between 5 and 33 months after surgery. CONCLUSION: We therefore conclude that most patients with urge and mixed urinary incontinence can be cured by surgery. Copyright © 2012 S. Karger AG, Basel. This article was published in Gynecol Obstet Invest and referenced in Journal of Gerontology & Geriatric Research

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