Adding Monspexy (Pubic Suspension) Step to Abdominoplasty, Does this Benefit in Management of Urinary Stress Incontinence in Females with Redundant Abdomen and Mons Pubis?

Document Type : Original Article

Authors

1 The Department of General Surgery, Plastic Surgery Unit , Faculty of Medicine, Benha University, Egypt

2 The Department of Urology, , Faculty of Medicine, Benha University, Egypt

Abstract

Background: Abdominoplasty is a surgical procedure that
removes excess skin and fat from the abdominal wall. Aside
from cosmetic concerns, some females, particularly those
with redundant Mons pubis, experience stress urinary incontinence
(SUI).
Objectives: The aim of current study is to evaluate the
procedure of ordinary abdominoplasty with added monsplasty
(monspexy) by a simple technique to restore the natural
urethral angle, in management of female stress urinary incontinence
due to redundant abdomen and Mons pubis besides
the aesthetic outcomes.
Patients and Methods: From August 2017 to August 2020,
29 cases of females complaining of redundant abdomen and
Mons pubis with some degree of stress urinary incontinence
were enrolled in the study. The mean age of patients was 35
years. Intraoperative lower resection level marked at pubic
hairline which should about 7cm from anterior commissure
of vulva and the upper resection limit marked at level of
umbilicus.
Results: All surgeries passed smoothly without intraoperative
complications with a mean operative time of 194±30;
range 150-250 minutes and excised tissue weight 4560±55;
Range 3000-5500 grams. Mean hospital stay was 2.8±0.7
days with a range of 2-3.5 days, one patient developed hematoma
in mons area. As regard stress urinary incontinence
the results at 8 weeks postoperative showed significant improvement
of Quality of life.
Conclusions: Females who undergo abdominoplasty combined
with monspexy in redundant abdomen and Mons pubis
benefit from this procedure aesthetically and functionally
from added monsplasy which reduces symptoms of stress
urinary incontinence.

Keywords

Main Subjects

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