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Surgical treatment of mixed urinary incontinence: effect of anterior colpoplasty.

Authors :
Lleberia J
Pubill J
Mestre M
Garcia E
Grimau M
Bataller E
Source :
International urogynecology journal [Int Urogynecol J] 2011 Aug; Vol. 22 (8), pp. 1025-30. Date of Electronic Publication: 2011 Jan 14.
Publication Year :
2011

Abstract

Introduction and Hypothesis: The aims of this study are to study the surgical outcomes in patients with stress-predominant mixed urinary incontinence (MUI) treated with tension-free vaginal tape, and to evaluate the effect of concomitant anterior colpoplasty.<br />Methods: A total of 134 women with MUI clinical and urodynamic were assessed at 6 months and annually (maximum 9 years) after surgery.<br />Results: As a whole, a complete healing of 49-51% at 3 years is observed, which hence could result in a tax drop of 36.8% at 5-9 years. Nevertheless, the rate of healing or improvement (subjective) is 73.7% at long term (5-9 years). There were no significant differences between the two techniques used: TVT vs TVT-Obturator. On the other hand, we have found significant differences between association of anterior colpoplasty and not (complete healing rate 34.6% vs 64.6%, p = 0.014), at 2 years of monitoring.<br />Conclusions: MUI with cystocele presents better surgical results for two components of incontinence, with its physiopathogenic implications.

Details

Language :
English
ISSN :
1433-3023
Volume :
22
Issue :
8
Database :
MEDLINE
Journal :
International urogynecology journal
Publication Type :
Academic Journal
Accession number :
21234546
Full Text :
https://doi.org/10.1007/s00192-010-1351-6