A collective of 31 women with recurrent stress urinary incontinence was subject to Burch colposuspension. The average time interval between the primary treatment (anterior colporrhaphy) and surgical colposuspension was 5.5 years. All patients underwent clinical, urodynamic and sonographic assessment of incontinence prior to and after surgery. The follow-up examination was performed at an average of 14.5 months after colposuspension according to the method reported by Burch. In 87% of patients, continence was achieved. 90% of patients were able to void without any formation of residual urine in the bladder. In the attempt to optimise the diagnostic and therapeutic procedures pertaining to female incontinence, introitus sonography and urodynamic assessment have proved to be valid adjuvant tools.
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Article Synopsis
- Urinary incontinence, particularly stress urinary incontinence (SUI), is a common issue in primary care that can greatly impact a patient's daily life and requires effective assessment and management by healthcare providers.
- The diagnosis of SUI is typically based on the patient's medical history and specific physical exams, with pelvic floor physiotherapy and lifestyle changes as primary treatment options.
- For more severe cases, surgical solutions like urethral bulking agents and different types of slings are available, with synthetic mid-urethral slings remaining a popular choice for treating SUI in women.
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