A 59-year-old woman undergoes vaginal hysterectomy and anteroposterior repair for uterine prolapse. Which of the following is a complication of this procedure that often develops within 2 weeks of surgery?: (A) Dyspareunia, (B) Stress urinary incontinence, (C) Enterocele, (D) Vaginal vault prolapse
Answer is B. Stress urinary incontinence More common in elderly women associated with cystocele and genital prolapse Urethral hypermotility -On intra abdominal pressure (by coughing, straining)- Leak of urine from urethra -SUI Risk factor Age - older menopausal women d/t estrogen deficiency leads to pelvic muscle tone down Multiparous women - prone to loss of tone of the pelvic floor M/S Obesity,smoking,prolapse & constipation Pregnancy