Gynecology & Obstetrics
Open Access
ISSN: 2161-0932
ISSN: 2161-0932
Mestre M
Spain
Review Article
De Novo Urgency: A Review of the Literature
Author(s): Lleberia J, Pubill J, Mestre M, Aguilo O, Serra L and Canet YLleberia J, Pubill J, Mestre M, Aguilo O, Serra L and Canet Y
De novo urgency can be defined as the appearance of urge urinary incontinence after an anti-incontinence surgery that persists after six months. This term can only be used when the patient did not have any urgency preoperative symptoms. The incidence of de novo urgency varies between 3.1% and 25.9% and although its pathophysiology is unclear, it is suggested that an obstruction (absolute or relative) is caused during the procedure that induces a reaction in the detrussor muscle. The evaluation of de novo urgency includes a thorough anamnesis, physical examination, residual urine evaluation, urinalysis, and urodynamic testing. When there is evidence of a bladder outlet obstruction, its treatment is urethrolysis or urethral dilatation. For patients without obstruction, a more conservative approach including pelvic floor exercises and antimuscarinics is recommended. A meticulous surgical.. View More»
DOI:
10.4172/2161-0932.1000166