Prevalence of occult stress incontinence in continent women with severe genital prolapse
Abstract
We studied 32 clinically continent women with severe prolapse. We found evidence of occult stress incontinence in 10 of these women after reduction of the prolapse with a ring pessary. Our results, confirming the work of others, suggest that a high proportion of women with severe genito-urinary prolapse are at an increased risk of occult stress incontinence that could result in incontinence after surgery for prolapse. Urodynamic studies after restoring anatomy with a ring pessary may identify these women needing anti-incontinence procedures at the time of surgical repair of the prolapse.
How strong is the evidence?
Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 32 participants or records.
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