Clinical outcome of transobturator tape concomitant with vaginal hysterectomy plus anterior posterior colporrhaphy |
| |
Authors: | Ali Ayhan N Utku Dogan Suleyman Guven O Tolga Guler F Kubra Boynukalin M Coskun Salman |
| |
Institution: | (1) Department of Obstetrics and Gynecology, Baskent University Faculty of Medicine, Sihhiye, Ankara, Turkey;(2) Department of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, Sihhiye, Ankara, Turkey;(3) Department of Obstetrics and Gynecology, Faculty of Medicine, Karadeniz Technical University, 61080 Trabzon, Turkey |
| |
Abstract: | Objective Transobturator tape (TOT) is a newly described procedure for the treatment of female stress urinary incontinence. The success
of TOT operation along with prolapsed surgery has not been well described. The aim of this study is to determine the complication
and success rates of TOT concomitant with pelvic prolapse surgery.
Study design Totally, 72 women who had TOT operation along with vaginal hysterectomy, anterior posterior colporrhaphy were re-evaluated
with UDI6 and IIQ7 forms 1 year of surgery. Preoperatively, all patients had clinically pure stress incontinence.
Results At 1 year, 80.6% of patients were cured with only 16.7% presenting de novo urge incontinence, while 2.8% of women retaining
stress urinary incontinence. The patients with lower gravida and number of vaginal delivery had significantly higher operation
success rates. The IIQ7 score significantly increased by increase in urinary catheter stay day. The women with the history
of cesarean delivery and lower hospital stay had significantly higher satisfaction scores. Of the factors only, the number
of gravida could be used to predict treatment failure in the entire group.
Conclusion Transobturator tape procedure could be accompanied safely with prolapse surgery. |
| |
Keywords: | Clinical outcome Female stress incontinence Transobturator tape Vaginal hysterectomy |
本文献已被 SpringerLink 等数据库收录! |
|