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International Urogynecology Journal

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01-11-2011 | Original Article

LeFort colpocleisis and stress incontinence: weighing the risk of voiding dysfunction with sling placement

Authors: Aimee L. Smith, Deborah R. Karp, Roger Lefevre, Vivian C. Aguilar, G. Willy Davila

Published in: International Urogynecology Journal | Issue 11/2011

Abstract

Introduction and hypothesis

This study aims to evaluate clinical outcomes of concomitant suburethral sling with LeFort colpocleisis including its effect on postoperative voiding.

Methods

We performed a retrospective review of all LeFort colpocleisis procedures from our institution. We reviewed demographics, symptoms of stress urinary incontinence, incontinent events/day, pads usage/day, urodynamic parameters, and presence of voiding dysfunction.

Results

Two hundred ten patients underwent colpocleisis during the study period. Mean age was 82.2 ± 4.9 and median follow-up was 22 weeks (2–169). Preoperatively, 73 (35%) complained of stress urinary incontinence (SUI) symptoms, and an additional 105 (50%) were diagnosed with occult SUI. One hundred sixty-one (77%) patients underwent concurrent suburethral sling. Overall, sling placement resulted in a 92.5% subjective stress continent rate. Fifty-six patients presented with voiding dysfunction (VD). Postoperatively, VD resolved in 91%. De novo VD occurred in two patients (1.9%) and one (0.6%) required sling revision.

Conclusions

Sling placement at time of colpocleisis is associated with high continence rates with minimal risk of postoperative voiding dysfunction.

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Title: LeFort colpocleisis and stress incontinence: weighing the risk of voiding dysfunction with sling placement
Authors: Aimee L. Smith
Deborah R. Karp
Roger Lefevre
Vivian C. Aguilar
G. Willy Davila
Publication date: 01-11-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 11/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1441-0

At a glance: The STEP trials

Springer Medicine

LeFort colpocleisis and stress incontinence: weighing the risk of voiding dysfunction with sling placement

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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