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Prolapse, Urogynecology & Infections

Question
8 out of 30
 

Stress incontinence is best corrected by (LQ)



A Colpocleisis
B Hysterectomy

C Bladder neck suspension
D Bladder exercise

Ans. C
Bladder neck suspension

Stress incontinence - Involuntary loss of urine during stress (coughing, sneezing or physical train) is a common complaint of post-menopausal women

 Digital pressure applied to the paraurethral tissues is an anterior direction through the vagina will reestablish the urethrovesical angle and prevent stress incontinence.

Treatment -

a. Definitive management is surgical

b. Marshall - Marchetti - Krantz procedure

c. Stamey modification of the Pereyra procedure

d. Currently - The most effective surgical approach is sling procedure with a piece of autologous or synthetic fascia attached to the rectus muscle or os pubis and surrounding the urethra at the bladder neck

e. Newer approaches - includes the use of collagen injection into the periurethral tissues, resulting in increased urethral outflow resistance. .

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