Pelvic organ prolapse and urinary incontinence are among the most common chronic disorders in women. These are common problems whose pathogenesis remains unclear. As life expectancy increases, significantly greater number of women now present with pelvic organ prolapse and urinary incontinence requiring surgical intervention. Currently, the lifetime risk of undergoing prolapse or continence surgery is one in 11, and up to 30% of patients will require repeat reconstructive surgery and repeat surgery for incontinence in 10%. In an attempt to improve surgical outcomes and to preserve vaginal capacity and coital function, a number of synthetic and biological prostheses have been developed. This study was conducted on 80 female patients suffering from stress incontinence and cystocele. The main findings of the study revealed that: Mean age of studied cases was 42.2 years, mean BMI was 28 kg/m2. Median parity was 2 children, median NVD was 2 ranged from 1 to 5, median CS was 1, ranged from 0 to 2, 58.8% were premenopausal, 41.3% were post-menopausal. All studied cases had positive cough test. Median POP-Q was 2.5, median ICIQ was 15, mean FSFI was 10.3, mean Q-max was 19.8 and mean PVRU was 20.The mean age of group I was 42.3 years, while that of group II was 42.1 years, with no significant difference between both groups. In addition, no significant differences were found between group I and II regarding BMI, vaginal delivery, CS, menopausal status. All cases had positive cough test. |
