[Management of ladies suffering of relapsed urinary stress incontinence treated with anterior colporrhaphy in maternity hospital at Damascus university]

ABSTRACT

Stress incontinence is a very common complaint in women specially in preimenopausal area. They do not always come to the Gyn. Clinic complaining of this problem due to their embarrassment, thinking that ageing process is a coexistent to this problem. This study aim to highlight and focus on the bad result of the anterior colporrhaphy as a surgical procedure to treat urinary stress incontinence .which had been used and still from some colleagues. This study aim to focus on the very good result of the new technique [TVT] to treat urinary stress incontinence where it could be the standards technique to be used to solve this problem. The study started the 1[st] of March 2009 till 1/3/2010. 50 patients were involved in the study suffering from different degree of stress incontinence. 14 of them had been submitted to anterior colporrhaphy with Kelly sutures. Many items were used to put the diagnosis include; history, medical examination, bony test, urinalysis And culture and Urodynamic study. All 50 patients had been submited to the new technique of surgery and the results were compared with the result of the old surgery. For the 14 patients treated with anterior colporrhaphy with Kelly sutures the study revealed immediate failure rate 57% of cases[8 patients] while 43% [6 patients] remained without complaint for an average period of 5 years and at the end all patients need another surgery to treat the relapsed stress [TVT] [the new technique] with a good result in the majority of cases. The study revealed tension free vaginal tape [TVT] has a very good result to treat stress incontinence comparing with anterior colporrhaphy which has a high failure rate and advice not to use this old technique in the future to treat urinary stress incontinence