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Re: Incontinence after BurchFrom: Dr (anonymous@obgyn.net)Sun, 22 Mar 1998 13:37:22 -0600 (CST)
At Sun, 22 Mar 1998, Janet wrote: > >Six weeks ago I had an open abdominal Burch procedure and a uterine >suspension where the uterosacral ligaments were plicated and sutured. No >mesh or staples were used. I also had rectocele repair done at the same >time. Before the surgery I had stress incontinence that was >controllable. If I was going to sneeze contracting the muscles or >crossing my legs would control it. Now after the surgery I leak slight >amounts of urine all during the day without even feeling it. Is this >something that will correct itself in time? I thought the Burch >procedure is supposed to cure incontinence not make it worse. Thank you >in advance for any advice you can give me. > >-- >Janet > Janet, You need to see your surgeon. There are a number of reasons why you might have a different pattern of incontinence. These include post op urinary infection, incomplete voiding (and hence overflow incontinence,) an unstable bladder and most important of all to exclude, a bladder fistula. Your will be in a strong position to advise by taking a detailed history and examination. If this fails to identify or cure the problem then further urodynamic assessment may be required. Take heart- it's common to have short-term problems after colposuspension, but do see your doctor!
-- Stewart Pringle MBChB MRCOG Southern General Hospital Glasgow,UK 100724.2333@compuserve.com
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