Evaluation of urethral pressure parameters before and after correction of anatomical support loss in patients with genuine stress incontinence

ABSTRACT

This study has been carried on 22 patients with genuine stress incontinence, the patients were subjected to history taking, clinical examination, laboratory investigations, and urodynamic studies of urethral pressure parameters before and after correction of the anatomical support loss, to evaluate these parameters. During follow up four weeks after operation, no subjective or objective findings could be detected in all patients. The postoperative functional urethral length was significantly changed, with definite improvement, while MUP, MUCP had insignificant increase after operation. However, the leak point pressure became higher postoperatively more than preoperatively. Also the pressure difference during stress was positive in 13 patients [59.1%] and negative in 9 patients [40.1%] while postoperative the pressure difference during stress was 100% positive in 22 patients It was concluded from the present study that the urodynamic studies are an essential part of the investigative sequence required to make an accurate diagnosis and allowed a more rational approach to treatment