Detrusor instability following colposuspension for urinary stress incontinence

R. LANGER*, R. RON‐EL, M. NEWMAN, A. HERMAN, E. CASPI

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Summary. Sixty‐two patients with genuine stress incontinence (group A) and 30 women with combined detrusor instability and genuine stress incontinence (group B) had a colposuspension operation. The proportion with symptoms of detrusor instability was significantly reduced from 24% before operation to 9% after operation in group A and from 73% to 33% in group B. Urodynamically, detrusor instability developed after surgery in 17 of the 62 patients (27%) in group A whereas only 12 of the 30 women (40%) in group B had detrusor instability after surgery. No urodynamic explanation was found to explain the effect of colposuspension in relieving the symptoms of detrusor instability in some and causing them in others. Nevertheless, it is suggested that colposuspension is helpful for most patients with combined detrusor instability and genuine stress incontinence.

Original languageEnglish
Pages (from-to)607-610
Number of pages4
JournalBJOG: An International Journal of Obstetrics and Gynaecology
Volume95
Issue number6
DOIs
StatePublished - Jun 1988

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