The net which made her wet: two unusual cases of stress incontinence

This report describes two cases of urinary stress incontinence secondary to mesh repair of large abdominal hernias. Both patients had never experienced urinary incontinence before their hernia repair. In both cases, polypropylene nets were inserted to stabilise the abdominal wall. Immediately after...

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Veröffentlicht in:BMJ case reports 2009, Vol.2009 (apr07 1), p.bcr0620080108-bcr0620080108
Hauptverfasser: Kuhn, Annette, Kuhn, Peter, Stadlmayr, Werner, Mueller, Michael David
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Kuhn, Peter
Stadlmayr, Werner
Mueller, Michael David
description This report describes two cases of urinary stress incontinence secondary to mesh repair of large abdominal hernias. Both patients had never experienced urinary incontinence before their hernia repair. In both cases, polypropylene nets were inserted to stabilise the abdominal wall. Immediately after the intervention, both patients became stress incontinent. Probably pressure transmission to the pelvic floor was increased due to stabilisation of the abdominal wall, which worked as a “windpipe” before surgery. After the insertion of suburethral tapes the incontinence resolved.
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects 80 Years
Abdomen
Bladder
Diabetes
Europe (West)
Female
Hernias
Hypertension
Unexpected Outcome (Positive or Negative) Including Adverse Drug Reactions
Urinary incontinence
Urine
White
title The net which made her wet: two unusual cases of stress incontinence
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