Detrusor instability following colposuspension for urinary stress incontinence
Article first published online: 19 AUG 2005
DOI: 10.1111/j.1471-0528.1988.tb09492.x
Issue
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BJOG: An International Journal of Obstetrics & Gynaecology
Volume 95, Issue 6, pages 607–610, June 1988
Additional Information
How to Cite
LANGER, R., RON-EL, R., NEWMAN, M., HERMAN, A. and CASPI, E. (1988), Detrusor instability following colposuspension for urinary stress incontinence. BJOG: An International Journal of Obstetrics & Gynaecology, 95: 607–610. doi: 10.1111/j.1471-0528.1988.tb09492.x
Publication History
- Issue published online: 19 AUG 2005
- Article first published online: 19 AUG 2005
- Received 16 March 1987 Accepted 4 January 1988
- Abstract
- References
- Cited By
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.

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