Urogenital prolapse and occult stress urinary incontinence.
Nat Clin Pract Urol
; 4(1): 55-8, 2007 Jan.
Article
em En
| MEDLINE
| ID: mdl-17211426
ABSTRACT
BACKGROUND:
A 76-year-old female presented to an outside clinic with symptoms of pelvic prolapse; she denied stress urinary incontinence (SUI). The patient had a history of two prior anti-incontinence surgeries. Pelvic examination revealed a grade IV cystocele. No SUI was identified, with or without reduction of the prolapse. Anterior colporrhaphy with cadaveric fascia was performed. Her prolapse symptoms resolved, but she had new-onset severe SUI. INVESTIGATIONS Pelvic examination, cystoscopy, urodynamics. DIAGNOSIS OCCULT SUI unmasked after anterior colporrhaphy. MANAGEMENT The patient was referred to our institution where videourodynamics were performed, revealing a well-supported bladder and SUI with Valsalva leak-point pressure of 26 cm H20. A transvaginal polypropylene sling was placed. She had complete resolution of SUI and denied exacerbation of mild urgency.
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Base de dados:
MEDLINE
Assunto principal:
Incontinência Urinária por Estresse
/
Prolapso Uterino
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article