Urinary incontinence will develop after prolapse repair in approximately one quarter of patients with advanced pelvic organ prolapse who remain continent despite significant loss of anterior vaginal and pelvic organ support. Many women with advanced pelvic organ prolapse who choose to undergo surgical management also choose to undergo continence surgery in order to prevent new onset urinary incontinence.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
60
polyglactin suture was passed through the Cooper's ligament bilaterally with the guidance of the valve
* By careful dissection (to avoid large veins in this region), expose the back of the pubic bone and the lateral aspects of the urethra. * The right-handed operator double gloves, and places the left hand in the vagina. * With fingers on either side of the catheter in the vagina, define the urethrovesical junction (at the balloon). * Place three Ethibond J-shaped sutures on either side of the urethrovesical junction.
Ahmed Abbas
Assiut, Cairo Governorate, Egypt
the percentage of stress incontinence post operative
(symptoms, stress testing, or treatment)
Time frame: 3 months
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