Abdominal paravaginal defect repair in the treatment of paravaginal defect and urodynamic stress incontinence
| Autor: | Asli Somunkiran, Ismail Ozdemir, G D Doyran, O Kemik Gul, B Gul, Fuat Demirci |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Stress incontinence medicine.medical_specialty Defect repair Urinary Incontinence Stress Urinary incontinence Gynecologic Surgical Procedures paravaginal repair Uterine Prolapse Patient age Humans Medicine urodynamic stress incontinence Anterior vaginal wall prolapse paravaginal defect Aged Pelvic organ business.industry Bladder injury Obstetrics and Gynecology Middle Aged Plastic Surgery Procedures medicine.disease Surgery Treatment Outcome pelvic reconstructive surgery Concomitant Vagina Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Journal of Obstetrics and Gynaecology. 27:601-604 |
| ISSN: | 1364-6893 0144-3615 |
| DOI: | 10.1080/01443610701497603 |
| Popis: | WOS: 000251069100013 PubMed: 17896260 We evaluated the morbidity, complications and outcomes.in 42 patients who underwent abdominal paravaginal defect repair (PDR) for vaginal wall prolapse due to a paravaginal defect and the prolapse of other pelvic organs. Out of a total of the 42 patients, 32 underwent PDR and concomitant pelvic reconstructive procedures, and 10 patients underwent PDR plus anti-incontinence surgery and concomitant pelvic reconstructive procedures. The mean patient age was 44.5 years. The mean follow-up period was 40 months. One bladder injury and two hemorrhages occurred intraoperatively. The cure rate of anterior vaginal wall prolapse was 92.9%. Of the 20 patients with urodynamic stress incontinence (USI) who underwent PDR alone, the rate of recurrence of USI was 20%; however, there was no recurrence in the 10 patients who underwent PDR plus the anti-incontinence procedures. Paravaginal repair is a safe and effective procedure for the surgical correction of a paravaginal defect, but has limited applicability in the surgical correction of USI. |
| Databáze: | OpenAIRE |
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