Surgical treatment of sphincteric incontinence in women

Abstract

There are many surgical options to correct sphincteric incontinence. The choice should take account of clinical features, urodynamic data and operation characteristics. Success should be evaluated both subjectively and objectively and it is desirable to have at least a two year follow-up. It is necessary to be aware of the complications of each procedure. Where new techniques are described it is important to use objective outcome measures.

Incontinência urinária em mulheres no período pós-menopausa: um problema de saúde pública

“…5 Estudos epidemiológicos mostram que 20% das mulheres que vivenciam o período climatérico apresentam perda involuntária de urina, 26% na fase reprodutiva têm esta manifestação e os percentuais elevam-se para 30% a 40% após a menopausa. 6,7 De acordo com Rasia,8 a menopausa é considerada um evento único que marca a transição do período reprodutivo para o não-reprodutivo. A menopausa natural é definida pela Organização Mundial de Saúde 9 como sendo 12 meses consecutivos de amenorreia, sem outra causa patológica ou psicológica.…”

The modified Pereyra (Raz) procedure for genuine stress incontinence—A useful option in the elderly or frail patient?

“…Suprapubic procedures such as the Burch colposuspension offer a cure rate of 89% at 5 years in a highly selected group of patients [1,2] but the vaginal narrowing and atrophy that occur after the menopause makes this operation technically difficult, and limits the number of patients who can be treated with it. In addition, the nature of the operation, with its suprapubic incision, puts the elderly woman at greater risk of thromboembolism since postoperative pain may restrict her mobility.…”