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Vaginal repair in female motor urge incontinence
L Jørgensen1, G Lose, L Mølsted-Pedersen
1Department of Surgery D, Rigshospitalet, University of Copenhagen, Denmark.
Abstract:
Sixteen consecutive female patients with motor urge incontinence underwent vaginal repair operation. The patients were reevaluated after a mean follow-up of 37 months (range 8-72 months). Detrusor instability disappeared in only 31% of the patients after surgery which corresponds to the subjective and the objective cure rate. High pressure instability (contractions greater than or equal to 25 cm H2O) and/or a high instability index (greater than 1) were found to predict significantly a very poor prognosis. It is concluded that vaginal repair is an ineffective surgical procedure in patients with motor urge incontinence.