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Year : 2007  |  Volume : 23  |  Issue : 3  |  Page : 311-313

Stress urinary incontinence after male to female gender reassignment surgery: Successful use of a pubo-vaginal sling

1 Department of Urology, Pinderfields General Hospital, Orchard House, Aberford Road, Wakefield WF1 4DG, United Kingdom
2 Pinderfields General Hospital, Orchard House, Aberford Road, Wakefield WF1 4DG, United Kingdom

Correspondence Address:
Pankaj P Dangle
6650 Allister Way #217, Columbus Ohio.
United Kingdom
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-1591.33731

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The case of a 50-year-old patient who had undergone male to female gender reassignment surgery is presented. She presented with mixed incontinence with symptoms of stress incontinence predominating. Initial conservative treatment was unsuccessful and subsequent videourodynamic assessment demonstrated urodynamic stress incontinence in association with a partially open bladder neck at rest. Also noted during the study was cough-induced detrusor overactivity. The option of inserting a pubo-vaginal sling using autologous rectus sheath was chosen. The procedure proved to be straightforward to perform and was uncomplicated. Subsequent follow-up demonstrated a resolution of her stress incontinence.

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