ADDING MONSPEXY STEP TO ABDOMINOPLASTY, DOES THIS BENEFIT IN MANAGEMENT OF URINARY STRESS INCONTINENCE IN FEMALES WITH REDUNDANT ABDOMEN AND MONS PUBIS? Ayman M. Abdelmofeed MD1, Ola Seif MD1 , Mohamed T. Younes MD1, Shabieb A.Abdelbaki MD2. 1 Department of General Surgery, plastic surgery unit Benha University, Egypt 2 Department of urology, Benha University, Egypt Corresponding author, Ayman M. Abdelmofeed Assistant professor of surgery at Benha Faculty of Medicine, Benha, Egypt Email: aymanab
Abdelmofeed, A., seif, O., younes, M., abdelbaki, S. (2021). ADDING MONSPEXY STEP TO ABDOMINOPLASTY, DOES THIS BENEFIT IN MANAGEMENT OF URINARY STRESS INCONTINENCE IN FEMALES WITH REDUNDANT ABDOMEN AND MONS PUBIS? Ayman M. Abdelmofeed MD1, Ola Seif MD1 , Mohamed T. Younes MD1, Shabieb A.Abdelbaki MD2. 1 Department of General Surgery, plastic surgery unit Benha University, Egypt 2 Department of urology, Benha University, Egypt Corresponding author, Ayman M. Abdelmofeed Assistant professor of surgery at Benha Faculty of Medicine, Benha, Egypt Email: aymanab. EKB Journal Management System, (), -. doi: 10.21608/ejprs.2021.74006.1073
Ayman Mahmoud Abdelmofeed; ola ahmed seif; mohammed tawfeek younes; shabieb ahmed abdelbaki. "ADDING MONSPEXY STEP TO ABDOMINOPLASTY, DOES THIS BENEFIT IN MANAGEMENT OF URINARY STRESS INCONTINENCE IN FEMALES WITH REDUNDANT ABDOMEN AND MONS PUBIS? Ayman M. Abdelmofeed MD1, Ola Seif MD1 , Mohamed T. Younes MD1, Shabieb A.Abdelbaki MD2. 1 Department of General Surgery, plastic surgery unit Benha University, Egypt 2 Department of urology, Benha University, Egypt Corresponding author, Ayman M. Abdelmofeed Assistant professor of surgery at Benha Faculty of Medicine, Benha, Egypt Email: aymanab". EKB Journal Management System, , , 2021, -. doi: 10.21608/ejprs.2021.74006.1073
Abdelmofeed, A., seif, O., younes, M., abdelbaki, S. (2021). 'ADDING MONSPEXY STEP TO ABDOMINOPLASTY, DOES THIS BENEFIT IN MANAGEMENT OF URINARY STRESS INCONTINENCE IN FEMALES WITH REDUNDANT ABDOMEN AND MONS PUBIS? Ayman M. Abdelmofeed MD1, Ola Seif MD1 , Mohamed T. Younes MD1, Shabieb A.Abdelbaki MD2. 1 Department of General Surgery, plastic surgery unit Benha University, Egypt 2 Department of urology, Benha University, Egypt Corresponding author, Ayman M. Abdelmofeed Assistant professor of surgery at Benha Faculty of Medicine, Benha, Egypt Email: aymanab', EKB Journal Management System, (), pp. -. doi: 10.21608/ejprs.2021.74006.1073
Abdelmofeed, A., seif, O., younes, M., abdelbaki, S. ADDING MONSPEXY STEP TO ABDOMINOPLASTY, DOES THIS BENEFIT IN MANAGEMENT OF URINARY STRESS INCONTINENCE IN FEMALES WITH REDUNDANT ABDOMEN AND MONS PUBIS? Ayman M. Abdelmofeed MD1, Ola Seif MD1 , Mohamed T. Younes MD1, Shabieb A.Abdelbaki MD2. 1 Department of General Surgery, plastic surgery unit Benha University, Egypt 2 Department of urology, Benha University, Egypt Corresponding author, Ayman M. Abdelmofeed Assistant professor of surgery at Benha Faculty of Medicine, Benha, Egypt Email: aymanab. EKB Journal Management System, 2021; (): -. doi: 10.21608/ejprs.2021.74006.1073

ADDING MONSPEXY STEP TO ABDOMINOPLASTY, DOES THIS BENEFIT IN MANAGEMENT OF URINARY STRESS INCONTINENCE IN FEMALES WITH REDUNDANT ABDOMEN AND MONS PUBIS? Ayman M. Abdelmofeed MD1, Ola Seif MD1 , Mohamed T. Younes MD1, Shabieb A.Abdelbaki MD2. 1 Department of General Surgery, plastic surgery unit Benha University, Egypt 2 Department of urology, Benha University, Egypt Corresponding author, Ayman M. Abdelmofeed Assistant professor of surgery at Benha Faculty of Medicine, Benha, Egypt Email: aymanab

The Egyptian Journal of Plastic and Reconstructive Surgery
Articles in Press, Accepted Manuscript, Available Online from 22 May 2021  XML
Document Type: Original Article
DOI: 10.21608/ejprs.2021.74006.1073
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Authors
Ayman Mahmoud Abdelmofeed email orcid 1; ola ahmed seif2; mohammed tawfeek younes2; shabieb ahmed abdelbaki3
1Department of surgery benha faculty of medicine benha university
2surgery department benha faculty of medicine benha university
3urology department benha faculty of medicine benha university
Abstract
Abstract
Background: Abdominoplasty is a procedure which removes redundant skin and excess fat from the abdominal wall. In addition to cosmetic concerns, some females, especially those with redundant Mons pubis, suffer from 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 &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 7 cm 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
Abdominoplasty; Monspexy; urinary incontinence
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