New Hysterectomy Technique with Correction of Stress Urinary Incontinence, and Mixed Urinary Incontinence

Oscar Raúl Muñoz Angel

doi:10.11648/j.jgo.20210903.14

Abstract

Statistically, 50% or more of the patients who are going to be hysterectomized have stress, urgency and mixed urinary incontinence, a problem that, when presenting significantly high figures in its epidemiology, requires finding a treatment that promises a cure for this pathology, since it represents not only a global public health problem for women, but also a global burden, for example, in the US for the treatment of urinary incontinence there has been an annual expenditure of more than 26 billion dollars. This article provides evidence that allows proposing the Hysterectomy + cysto-urethro-colpus suspension surgical technique - SYCFIM, as a treatment for stress and mixed urinary incontinence. A study was carried out with 6 patients with uterine pathology associated with urinary incontinence. A pre-surgical urodynamics were performed, finding one patient with stress incontinence and five patients with mixed incontinence. At the postoperative control appointments at two weeks and two months, the patients reported the disappearance of incontinence. And at two years and five months, they continued without urinary incontinence in 100% of the cases. The results of the urodynamics performed at two years and five months, demonstrated the disappearance of stress incontinence in 100% and mixed in 100%, thus confirming that the SYCFIM technique works as a treatment for stress and mixed urinary incontinence.

Highlights

Urinary incontinence (UI) is defined by the International Continence Society (ICS) [1], as any involuntary loss of urine
Reports from the United States estimate that more than 600,000 women undergo hysterectomy each year, where the age group to which they belong has an incidence of more than 40% of UI, which indicates that 240,000 women who must be operated with the hysterectomy technique correct the UI
UI is a global health problem that has not been made visible despite the high numbers of UI, which should be considered a public health problem for women; 70% of women are ashamed to show their incontinence in the consultation, which leads to poor identification and diagnosis

Summary

Introduction

Urinary incontinence (UI) is defined by the International Continence Society (ICS) [1], as any involuntary loss of urine. It is an extraordinarily frequent condition and its increase in prevalence is closely linked with age, which constitutes an important medical and social problem due to the high incidence worldwide, given the increase in the average life span at present. Reports from the United States estimate that more than 600,000 women undergo hysterectomy each year, where the age group to which they belong has an incidence of more than 40% of UI, which indicates that 240,000 women who must be operated with the hysterectomy technique correct the UI. Studies report that the traditional hysterectomy technique would increase UI by 2.5 times [2]. Studies explain that most women do not talk to their doctor about their symptoms out of embarrassment, due to the perception that UI is a "normal" part of aging, or that they are sequelae of hysterectomy [3]

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Discussion

Conclusion