Authors
Abstract
Background and Purpose: There are various therapies for stress urinary incontinence (SUI) which include conservative, medical and surgical therapies, each with advantages and disadvantages. In this article, the results of simultaneous needle suspension and anterior colporrhaphy in patients with SUI who had grade III and II cystocele in physical examination.
Methods and Materials: From 1380 to 1382 (2000-2003), 135 women with complaints of UI referred to Urology and Gynecology clinics. Of these, 72 patients suffered from SUI and 21 patients from mixed urinary incontinence with a predominance of SUI. Due to SUI severity, physical examination (cystocele grade II and III) and failure of conservative therapies, 58 patients underwent simultaneous anterior colporrhaphy and needle suspension.
Results: Peri- and postoperative mortality did not occur. In 13 cases (22.4%), foley catheter was removed two days after surgery but they were unable to void. In 11 cases, the problem was solved after catheterization for one week. In 2 cases, UI occurred and CIC was recommended; after two weeks CIC, they were able to urinate. In one case, sonography and cystoscopy were done due to dysuria resistant to medical treatment; cystoscope was used to extract the suture which had migrated to the bladder. 55 patients (94.9%) indicated improved symptoms one year after surgery. Perfect success (dryness) was observed in 47 patients (81%). Urinary residue, measured one month after surgery, was less than the normal upper limit in all cases.
Conclusion: Success rate of this study is higher than previous studies. Simultaneous needle suspension and anterior colporrhaphy is therefore recommend for patients with SUI and grade III and II cystocele due to the high success rate and low morbidity and mortality rate of the procedure.
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