Levatorpexy—Transperitoneal Levator Muscle Repair
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Urodynamic and radiological investigations of the bladder and its outlet in females with urinary incontinence have provided us with improved knowledge of the cause of incontinence. Thus, we are now able to distinguish between bladder neck suspension defects, pelvic floor deficiency and/or detrusor instability. The importance of distinguishing between the different causes of incontinence is to enable the urologist/ gynaecologist to choose between a series of treatment modalities, thereby improving the success of the method chosen. Micturating cystourethrography (MCUG) provides excellent information regarding the distinction between bladder neck suspension defect and pelvic floor deficiency (Fig. 16.1; Olesen 1983).
KeywordsUrinary Incontinence Pelvic Floor Bladder Neck Urologic Surgery Ureteric Catheter
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