Surgery>>>>>Gynecology
Question 7#

All of the following are true concerning stress incontinence EXCEPT:

A. Can be due to lack of urethrovaginal support
B. Can be due to intrinsic sphincter deficiency
C. Goal of surgical repair is to create a partial urethral obstruction
D. Urethral reimplantation is sometimes necessary if other approaches fail

Correct Answer is D

Comment:

Stress incontinence is believed to be caused by lack of urethrovaginal support (urethral hypermobility) or intrinsic sphincter deficiency (ISD). ISD is a term applied to a subset of stress-incontinent patients who have particularly severe symptoms, including urine leakage with minimal exertion. This condition is often recognized clinically as the low pressure or "drainpipe" urethra. The urethral sphincter mechanism in these patients is severely damaged, limiting coaptation of the urethra. Standard surgical procedures used to correct stress incontinence share a common feature: partial urethral obstruction that achieves urethral closure under stress.