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[Anterior levatorplasty in prolapse and incontinence: a clinical and urodynamic study].

In this follow-up study we demonstrate the clinical and urodynamic results in 46 patients who underwent modified anterior repair because of vaginal prolapse or incontinence. Besides frequent inflammations of the lower urinary tract (70%), dehiscence of the anterior vaginal wall was quite common (30%). Considering the patient pre- and postoperative anamnestic data, we found a significant increase in continent patients (4 preoperative-18 postoperative). The urodynamic parameters showed a change in the first urge to void at significant higher bladder volumes, and a significant increase of the functional length of the urethra. After surgery a negative stress profile and a positive clinical stress test were seen less often.