PubMed · 9800136
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M H Jones. 1998. Mild smear abnormalities.. https://pubmed.ncbi.nlm.nih.gov/9800136/
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The screening of cervical cancer is ideal. Performing its screening allows discovering early stage of invasive cancer but above all to diagnose numerous precursor lesions: their treatment carry out the prevention of invasive cancer. Without an organised screening in France, there is a spontaneous screening. Nevertheless the incidence of invasive cancer decreased twofold since twenty years. It remains unfortunately frequent. With a well organised mass screening its rate will probably decrease significantly.
Symptoms of bladder irritability are common after incontinence surgery but their cause is unknown. This study tests the hypothesis that irritative symptoms after colposuspension are due to distortion of the trigone. As part of longitudinal follow-up studies, 175 women were examined 6 months to 12 years after either an open or a laparoscopic Burch colposuspension. The main outcome measures were symptoms of bladder irritability (frequency, nocturia and urge incontinence) and ultrasound findings (bladder neck position at rest and on Valsalva, the presence of a colposuspension ridge, ridge depth and ridge distance, and trigonal angle). Two positive associations between ultrasound parameters and symptoms of bladder irritability were observed: urge incontinence was more likely in the presence of bladder neck funneling, and women with nocturia had a higher trigonal angle. Increased distortion of the trigone was associated with a reduced incidence of urge incontinence in the subgroup of patients after laparoscopic colposuspension. The data presented in this study do not support the hypothesis that symptoms of bladder irritability are due to trigonal distortion or overelevation.