Clinical and Urodynamic Features of Failed Incontinence Surgery in the Female

Abstract

Women (60) with urinary stress incontinence were treated by the Burch colposuspension operation and bladder neck plication. Pre- and postoperative clinical and urodynamic features of 15 patients with recurrent incontinence were compared and contrasted with 45 women who were cured. Factors which were associated with failed surgery included increasing age, previous continence surgery, the presence of detrusor instability and a postoperative rise of intrinsic bladder pressure either on filling or standing up.