Frequency of recurrence and improve stress urinary incontinence in women after anterior Colporrhaphy surgery in clinic of women 22 Bahman Hospital during 1391-1392

Subject Areas : علوم پزشکی

Parisa Zarif Najafi ¹ , Ziba Zohourian ² , Mohsen Ghasemi ³ , Delaram Zirachi ⁴

1 - استادیار ، دانشکده پزشکی، دانشگاه آزاد اسلامی مشهد ، مشهد، ایران.
2 - استادیار ، دانشکده پزشکی، دانشگاه آزاد اسلامی مشهد ، مشهد، ایران.
3 - استادیار ، دانشکده پزشکی، دانشگاه آزاد اسلامی مشهد ، مشهد، ایران.
4 - دانشجوی رشته پزشکی، دانشکده پزشکی، دانشگاه آزاد اسلامی مشهد، مشهد، ایران.

Received: 2017-06-05 Accepted : 2017-06-05 Published : 2013-11-22

Keywords: Urinary stress incontinence, Anterior colporraphy, recurrence rate,

Abstract :

BACKGROUND AND OBJECTIVE : stress incontinence is the most common cause of the incontinence in women. Stress urinary incontinence (SUI) has many medical- psychosocial effects on women's life and in approximately 40% of cases; it is a major problem in daily life. The patient’s complaint that the leaks urine when intraabdominal pressure is increased (such as coughing ). This can be caused by urethral and bladder neck incompetence . Treatment of urinary incontinence includes two type methods : nonsurgical management and surgical managemaent. One of the procedures used in treatment of the stress incontinency is anterior colporraphy. The aim of this study is to find the recurrence rate of stress urinary incontinence  after anterior colporrhaphy . Methods and materials: 88 patients who underwent anterior colporrhaphy for the treatment of stress urinary incontinence in clinic of  women 22 Bahman Hospital during  2012-2013 . A questionnaire about age , parity , type of labor and BMI and some questions about SUI were filled out. Then, they were visited and examined to determine the volume and severity of SUI. Patients followed up for 2,6 and 12 months after surgry. Results: from 2012 to 2013 ,88patients underwent the anterior colporrhaphy for the treatment of stress urinary incontinence . during the 2months after operation 17% patients were incontinence and recurrence rate at 6 and 12 months after operation was 25%and 52/3 %. . Women were SUI 12months after surgry were older than women without it (p-value=0.04) . There was no significant difference between methods of delivery ,parity and body mass index to achieve SUI after operation . CONCLUSION: the present result show the high recurrence rate at the 1years follow up. The results showed that women's age were determinant factors for developing SUI after anterior colporrhaphy  but women's BMI,parity and method of delivery had no effect on recurrence stress urinary incontinence after operation.  

References:

 

1)    Gibbs, Ronald S.; Karlan, Beth Y.; Haney, Arthur F.; Nygaard, Ingrid E. Female Urinary Incontinence: Epidemiology and Evaluation. In:Gibbs RS,Karlan By,Haney AF,etc. Danforth obstetrics & Gynecology. 10^th ed. China:Lippincott Williams & Wilkins;2008:871-876.

 

2)    Roovers JP, Vander Bom JG, Vander Vaart CH. Abdominal versus vaginal approach for the management of genital prolapse and coexisting stress incontinence. Journal of Pelvic Floor Dysfunct. 2002; 13(2):224-31.

 

3)    Thaweekul Y,Bunyavejchevin S,Wisawasukmongchol W,etc.Long term results of anterior colporrhaphy with Kelly placation for the treatment of stress urinary incontinence.J Med assoc.2004 Aug; 97(2):226-230.

 

4)    Fritel X, Fauconnier A, Levet C, Benifla JL. Stress urinary incontinence 4 years after surgry: a retrospective cohort study. Acta Obstet Gynecol Scand 2004; 83 (10): 941-5.

 

5)    Bai SW, Kang JY, Rhak KH, Lee MS, Kim JY, Park KH. Relationship of urodynamic parameters and obesity in women with stress urinary incontinence. J Reprod Med. 2002; 47(7): 559-63

 

6)    Yamaguchi O. Beta 3-adrenoreceptor's in human detrusor muscle. Journal of Urology. 2002; 59(7): 25-9.

 

7)    Mason L, Glenn S, Walton I, Appleton C. The prevalence of stress incontinence during pregnancy and following delivery. Midwifery. 1999; 15(2): 120-8.

 

8)     Fritel X. From delivery mode to incontinence. J Gynecol Obstet Biol Repord 2005; 34(8): 739-44. 

 

9)    Z. Basirat , A. Bakhtiari , P. Payandeh . Stress urinary incontinence and some related factors after anterior colporrhaphy . Journal of Babol University of Medical Sciences. 2009; 10(5): 41-47.