Stress Urinary Incontinence after TRAM and Cervix Carcinoma

Original article


M. Bulugma, S. Meghil, C. H. Engesterman, P. Scheler, R. Kuner, G. Hoffman

Saint Josef Hospital, Wiesbaden-Germany

JMJ Vol.3 No.2 (September) 2004: 50-51


Transfer Rectus Abdominal Muscle Flap (TRAM) is preferred from some patients with locally advanced carcinoma of the Breast over other cosmetic reconstructive operations like Latissmus Flap or Mammary Silicon Gel implants (Augmentation) TRAM is a permanent cosmetic operation after Mastectomy. Patients with FiGO I-II Cervix Carcinoma are operated with Wertheim-Meig,s operation with or without Paraaortal lymphonodectomy . at the time of our TVT-study, Dr.Saleh Meghil -now as consultant in Ejdabia teaching Hospital-note that some patients with stress urinary incontinence give history of TRAM or Cervix Carcinoma operation. Our aim of the study is to see the relationship between both of them, and if they leads really as a complication to SUI. All the patients give no history of SUI before operation, Ultrasound and Urodynamic is carried out before, 6 and 12 months after the Operation. All types of Micturation disturbance can happen after such an operations.

Keywords: Transfer of Rectus Abdominal Muscle flap (TRAM), stress urinary incontinence (SUI), Urodynamic examination, adjuvant and primary chemotherapy, After load, percutaneus radiotherapy, Brachytherapy, Chemotherapy, Down staging, Lymph node (LN), Supra-Pubic Catheter (SPC)