OLD RUPTURES OF THE PERINEUM (ORP) WITH CYSTORECTOCELUM AND STRESS URINARY INCONTINENCE (SUI). DIAGNOSE AND THERAPEUTIC ASPECTS
Received
09 September 2020
Revised
9 Octomber 2020
Accepted
21 October 2020
Available Online
15 November 2020
Abstract
ORP APPEAR AS A CONSEQUENCE OF O BSTETRIC TRAUMA A FTER A SPONTANEOUS BIRTH OR AFTER A BIRTH WITH OBSTETRIC INTERVENTION, MOST OFTEN THE FETUS EXTRACTION WITH THE APPLICATION OF FORCEPS. THE PROCEDURES AND THE TECHNIQUES OF DIRECT VAGINAL URETHROCYSTOPEXY ARE STILL PRACTICED SUCCESSFULLY T ODAY IN THE TREAT MENT OF ORP WITH CISTORECTOCELUM AND SUI. SEVERAL COMPARATIVE STUDIES BETWEEN THESE PROCEDURES AND THE TECHNIQUES OF INDIRECT URETHROCYSTOPEXY IN THE ABDOMINAL TRACT HAVE SHOWN THAT FOR THE SURGICAL CORRECTION OF SUI, THE INDIRECT PROCEDUR ES ARE MUCH MORE EFFECTIVE IN TIME, AT 5 OR 10 YEARS. THE BURCH TECHNIQUE HAS LONG BEEN THE "GOLD STANDARD" OF SURGERY TO CORRECT SUI. THEIR PLACE SEEMED TO BE TAKEN BY THE SUBURETHRAL SLING, MUCH SIMPLER AND MUCH MORE EFFICIENT THAN THE CLASSICAL TECHNIQUES IN SOLVING THE SUI, PRACTICALLY ONLY PARTIALLY TRUE, AND SOME FAILURES WERE REPORTED IN THE SPECIALIZED LITERATURE REGARDING THE INFALLIBLE VALUE OF THE ALL SUBURETHRAL SLING, WITH THE APPEARANCE OF SUB -URETHRAL NECROSIS, ABSCESSES, SEPTIC CONDITIONS, P ATHOLOGICAL ASPEC TS INITIALLY UNKNOWN TO THE ENTHUSIASTS OF APPLYING THE PROCEDURE. IN ORDER TO SOLVE ORP WITH CISTORECTOCELUM AND SUI, ACCORDING TO OUR EXPERIENCE, MODERN TECHNIQUES WITH SUB -URETHRAL SLING TOT CAN BE ADDED TO THE CLASSIC TECHNIQUES, AVAIL ABLE TO THE EXPER IENCED SPECIALISTS WHO HAVE SUCCESSFULLY PERFORMED ANY OF THESE PROCEDURES.
Keywords
OLD RUPTURES OF THE PERINEUM
CYSTOCELE
RECTOCELE
URINARY
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