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Functional outcomes of vaginal surgery for urethral extrusion of mid-urethral tape in women
- Source :
- International Urogynecology Journal. 33:2251-2256
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- We aim to determine the presentation of and immediate and longer-term outcomes of vaginal surgical excision of urethral extrusion of mid-urethral tape (MUT). We performed a retrospective analysis of all patients with urethral extrusion of MUT having vaginal surgical excision between 2007 and 2018. The MUT was removed either partially (via vaginal approach) or completely (via combined vaginal and laparoscopic approach). Functional outcomes and any re-interventions are described. Thirty-four patients of median age 53 (range 34–82) years were identified. Preoperative symptomatic recurrent/persistent urinary incontinence was present in 29/34(85%) with 24/34(71%) women having recurrent/persistent stress urinary incontinence (SUI) or stress predominant mixed urinary incontinence (s-MUI) on urodynamics. Vaginal surgical excision was performed alone in 33/34(97%) women and in combination with laparoscopic removal of abdominopelvic MUT in 1/34(3%) woman. In the longer term vaginal/urethral pain resolved or improved in all 15/15(100%) patients presenting with this complaint whilst patient reported poor flow resolved in 8/9 (89%) women. Twenty-eight of 34 women (82%) had persistent/recurrent SUI or s-MUI following MUT excision. Twenty-four of 34 women (71%) had further SUI surgery with cure or improvement of SUI in 20/24 (83%) patients. The outcome of vaginal surgical excision of the MUT was cure or improvement of pain in 100% and resolution of poor flow in 89% women. Recurrent/persistent SUI or s-MUI was present in 82% following removal as compared to 71% women prior to removal. Of the 71% of women electing to have further surgery for recurrent/persistent SUI/s-MUI, 83% were dry or improved afterwards.
- Subjects :
- Adult
Male
Vaginal approach
medicine.medical_specialty
Urinary Incontinence, Stress
Urology
Fistula
030232 urology & nephrology
Urinary incontinence
Pelvic Pain
03 medical and health sciences
0302 clinical medicine
Retrospective analysis
Humans
Medicine
Aged
Retrospective Studies
Aged, 80 and over
Suburethral Slings
Mixed urinary incontinence
030219 obstetrics & reproductive medicine
business.industry
Obstetrics and Gynecology
Urinary Incontinence, Urge
Middle Aged
Urethral pain
medicine.disease
Surgery
Treatment Outcome
Urinary Incontinence
Female
Surgical excision
medicine.symptom
business
Vaginal surgery
Subjects
Details
- ISSN :
- 14333023 and 09373462
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- International Urogynecology Journal
- Accession number :
- edsair.doi.dedup.....1f9744c0b8c6956ccf85c494327caa89