Abstract
The paper by Karjalainen et al., who reviewed 2,933 pelvic organ prolapse surgeries, showed 75% cure for “bothersome” urge urinary incontinence (UUI), is more than an “Aha” moment; it is an “Emperor has no clothes” moment. Since 1976, a convention of “no surgery” for women with UUI (now overactive bladder, OAB) has become almost an article of faith. Yet, surgical cure of OAB has been known since 1997, when this journal published the first urodynamically controlled study with 20-month data: 86% cure for UUI, 85% for frequency, 80% for nocturia following pubourethral ligament (PUL) and uterosacral ligament (USL) sling repair in 85 women. This study was followed by many other publications over the years recording OAB cure. It is not that even a small fraction of the 600 million women on the planet will now undergo surgery, or that damaged ligaments are the only cause of OAB. However, knowing OAB can be cured opens the door for young creative minds to bring hope and relief to these women non-surgically, as well as surgically.
Highlights
Keywords Overactive bladder · Urge · Frequency · Nocturia · Surgical cure · Uterosacral ligaments · Cardinal ligaments
Some 20–30% of women on the planet suffer from overactive bladder (OAB) and up to 50% of 80-year-old women suffer from nocturia
Since the first ICS consultation in 1976 [1] until now, learned bodies [2] have consistently advised that the pathogenesis of OAB, was unknown [2], that no cure was possible and that surgery was contraindicated
Summary
Keywords Overactive bladder · Urge · Frequency · Nocturia · Surgical cure · Uterosacral ligaments · Cardinal ligaments Some 20–30% of women on the planet suffer from overactive bladder (OAB) and up to 50% of 80-year-old women suffer from nocturia.
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