Urethral hypermobility after anti-incontinence surgery—a prognostic indicator?

摘要: The aim of this study was to define the concept hypermobility bladder neck and determine its effects on cure rate postoperative complications in patients undergoing colposuspension. In a retrospective study, 310 who underwent primary colposuspen- sion for urodynamically proven genuine stress urinary incontinence were assessed by introital ultrasound before surgery during follow-up up 48 months post- operatively. A total 152 women completed follow-up. Mobility straining described as linear dorsocaudal movement (LDM) with LDM >15 mm being defined hypermobility. overall objective 90.0% at 6-month vs 76.8% 48-month (Kaplan-Meier estima- tors). Urge symptoms occurred 12.6% (39/310) de novo urge 2.3% (7/310). Bladder significantly reduced after anti-incontinence surgery, from 67.1% (208/310) 5.5% (17/310) immediately (P<0.0001). Postoperative associated higher recurrence rate. group, 52.9 34.0% continent 6 months, respectively, opposed 92.2 79.2% group without Women had 3.2-fold risk within months. hypermo- bility also voiding difficulty (P=0.0278). Patients whom diagnosed persists colposuspension have are more likely develop than those