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Women with pre-existing UI may benefit from intrafascial approach.
2004 AUG 5 - (NewsRx.com & NewsRx.net) -- A comparison of urinary urge incontinence (UI) after intrafascial and extrafascial abdominal hysterectomy did not turn up any differences between the two in most women, but those who had pre-existing UI tended to benefit more from the former approach.
"Women scheduled for total abdominal hysterectomy were randomized to the extrafascial (n=8) and the intrafascial techniques (n=8). The groups were controlled for demographic variables, obstetric and gynecologic history, uterine size, indications for hysterectomy and preoperative hemoglobin values," said H. Kaya and colleagues at Suleyman Demirel University in Turkey.
"Short-term surgical morbidity and presence of urge incontinence defined as urodynamically established detrusor overactivity at the end of 12 months were the main outcome measures," they explained.
Neither major surgical morbidity nor percentage of women with urge incontinence at the end of the follow-up period differed.
"However, when women with pre-existing urge incontinence were evaluated separately," the researchers reported, "there was a trend towards the intrafascial operation to be associated with more urge-incontinence-free patients at the end ...
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Source: HighBeam Research, Women with pre-existing UI may benefit from intrafascial approach.