Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics

Detection of newly developed stress urinary incontinence and detrusor instability following repair of anterior vaginal wall prolapsed by anterior colporrhaphy. 20 patients were recruited from the obstetrics and gynecology department, Kasr Alainy hospital, Faculty of medicine, Cairo university. All patients were indicated for repair of anterior vaginal prolapse by anterior colporrhaphy. Evaluation of the stage of prolapse according to pelvic organ prolapse quantification system (P. O. P. Q.), filling cystometry and complete urine analysis. This was done preoperative, one week and one month postoperative. Filling cystometry done one week postoperative revealed that all patients were free of detrusor instability and stress incontinence. Filling cystometry done one month postoperative detected two cases (10%) with detrusor instability and only one case (5%) with de novo stress urinary incontinence. There is a low risk of de novo SUI after anterior colporrhaphy that doesn{u2019}t justify performing prophylactic anti-incontinence procedure. Despite that low risk, patients should always be counseled before surgery about the potential risk of development of de novo SUI. Also we can conclude that anterior colporrhaphy doesn{u2019}t predispose the patient for the development of detrusor instability or urge incontinence even if the patient suffered from detrusor instability preoperatively

Issued also as CD