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 (استادیار ، دانشکده پزشکی، دانشگاه آزاد اسلامی مشهد ، مشهد، ایران.)
Ziba  Zohourian ² (استادیار ، دانشکده پزشکی، دانشگاه آزاد اسلامی مشهد ، مشهد، ایران.)
Mohsen  Ghasemi ³ (استادیار ، دانشکده پزشکی، دانشگاه آزاد اسلامی مشهد ، مشهد، ایران.)
Delaram  Zirachi 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.  

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