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The Vaginal Approach After Failed Previous Surgery

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Vaginal Surgery for Incontinence and Prolapse

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Abstract

After any failed surgery for incontinence, or after any vaginal surgery complicated by incontinence for that matter, it is essential to carry out a complete evaluation of the patient— both subjectively and objectively. Certainly recurrent incontinence after previous surgery can usually be treated successfully, but it requires precise patient evaluation because it is imperative that the exact functional derangement is defined and the precise etiological factors are identified. This is particularly important when there is more than one abnormality present, since incorrect treatment may aggravate symptoms rather than cure them. A careful balance should be struck between thetreatment modality to be chosen and the patient’s expectations. In addition to a clear history, a full examination—physical, urodynamic, and, where appropriate, imaging— should be performed. Although in some patients with a history of recurrent incontinence it may not be possible to demonstrate any significant abnormality, it is essential to exclude a significant abnormality.

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Author information

Authors and Affiliations

  1. Department of Urology, Royal Hallamshire Hospital, Sheffield, UK

    Christopher C. R. Chapple (dgBSc, MD, FRCS, FEBU)

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  1. Christopher C. R. Chapple
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Editors and Affiliations

  1. Department of Urology, The University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA

    Philippe E. Zimmern MD, FACS (Professor of Urology, Jane and John Justin Distinguished Chair in Urology In honor of Claus Roehrborn, MD) (Professor of Urology, Jane and John Justin Distinguished Chair in Urology In honor of Claus Roehrborn, MD)

  2. University of Utah School of Medicine, Salt Lake City, UT, USA

    Peggy A. Norton MD, FACOG (Professor of Obstetrics and Gynecology, Chief of Urogynecology and Reconstructive Pelvic Surgery) (Professor of Obstetrics and Gynecology, Chief of Urogynecology and Reconstructive Pelvic Surgery)

  3. Urology Department, Tenon Hospital, Paris, France

    François Haab MD (Professor of Urology) (Professor of Urology)

  4. Department of Urology, The Royal Hallamshire Hospital, Sheffield, UK

    Christopher C. R. Chapple BSc, MD, FRCS (Urol), FEBU (Consultant Urological Surgeon) (Consultant Urological Surgeon)

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© 2006 Springer-Verlag London Limited

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Chapple, C.C.R. (2006). The Vaginal Approach After Failed Previous Surgery. In: Zimmern, P.E., Norton, P.A., Haab, F., Chapple, C.C.R. (eds) Vaginal Surgery for Incontinence and Prolapse. Springer, London. https://doi.org/10.1007/978-1-84628-346-8_15

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  • DOI: https://doi.org/10.1007/978-1-84628-346-8_15

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-85233-912-8

  • Online ISBN: 978-1-84628-346-8

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