Results of surgical treatment of urinary incontinence in women with pelvic organ prolapse

Abstract

Objective: long-term evaluation of the results of surgical treatment of mixed urinary incontinence in women with pelvic organ prolapse by the Kelly method in its own modification.Materials and methods: diagnosis and surgical treatment of pelvic organ prolapse and urinary incontinence were performed in 95 women aged 52–60 years. The patients underwent vaginal hysterectomy, anterior and posterior colporraphy, levatoroplasty, and perineoplasty. In order to optimize the surgical treatment of mixed urinary incontinence, urethral plastic surgery was performed using Kelly's method in its own modification. 3 years after the operation, the effectiveness of the operation was evaluated.Results: the performed surgical treatment improved the quality of life of the patients during the next 3 years of life, since there were no violations of the anatomy of the vagina and bladder. There were good forces of contraction of the pelvic floor muscles, women fully retained urine. The patients are completely satisfied with the results of the operation, are able-bodied and take an active life position.Conclusions: the proposed technique is a pathogenetically justified method of restoring adequate urination, reduces the number of relapses of the disease, and returns the main functions to the urethra: to retain urine in the bladder and ensure its release to the outside, which increases the effectiveness of surgical treatment and the duration of the positive effect.

Keywords

• urinary incontinence
• hysterectomy
• levatoroplasty
• urethral plastic surgery
• pelvic organ prolapse
• quality of life