Sinha D, Arunkalaivanan A S
City Hospital, Birmingham, UK.
J Obstet Gynaecol. 2007 Feb;27(2):174-6. doi: 10.1080/01443610601124547.
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.
