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ZJRMS 2004, 6(1): 9-15 Back to browse issues page
The relation between parity and cure of stress incontinence after anterior colporraphy with Kelly suture
Abstract:   (5767 Views)
Khooshideh M.MD*, Shahriari A.MD**
 
Background: When pelvic organs prolapse exist with anatomic hyper mobility of the urethra, stress incontinence that is the most common cause of the incontinence in women. One of the procedures used in treatment of the stress incontinence is anterior colporraphy with Kelly suture. The aim of this study is to determine the rate of success of this method of surgery in women with different parity. 
Methods and materials: In this descriptive analysis study in 2000 2002 women were chosen with stress incontinence in Ghods hospital and after anterior colporraphy with Kelly suture the rate of cure of stress incontinence 6 months after operation was determined on them. The women were divided in two groups for comparing the rate of success of operation; first group consisted of 40 patients with parity between 1-3 and second group160 patients with 4 or above 4 parity.
Results: Rate of overall successful results after 6 months in patients (164 cases) was (83%). Surgery in first group was successful in 38 cases (95%) and in second group 144   cases (80%) immediately after surgery.
After 6 months 38 cases (95%) in first group and128 cases (80%) in second group were treated. The difference between two groups is significantly confirmed with chi -square test               (P= 0.046).
Conclusions: The rate of success in our study in the patients below fourth parity was greater than the rate of success reported by other studies; so anterior colporraphy with Kelly suture is a good choice in low parity women.
 
KEY WORDS: Urinary stress incontinence, Anterior colporraphy, Kelly suture, Parity
 
 
* Dept of Obstetrics and Gynecology, Faculty of medicine, Zahedan University of Medical Sciences and Health Services, Zahedan, Iran.
** Dept of Anesthesiology and Intensive Care, Faculty of medicine, Zahedan University of Medical Sciences and Health Services, Zahedan, Iran.
Keywords: Urinary stress incontinence, Anterior colporraphy, Kelly suture, Parity
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The relation between parity and cure of stress incontinence after anterior colporraphy with Kelly suture. ZJRMS. 2004; 6 (1) :9-15
URL: http://zjrms.ir/article-1-154-en.html


Volume 6, Issue 1 (Mar 2004) Back to browse issues page
Zahedan Journal of Research in Medical Sciences
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