Abstract | OBJECTIVES: METHODS: A total of 117 consecutive continent women (mean age and parity 66.8 ± 9.9 years and 3.2 ± 1.5, respectively) with significant pelvic organ prolapse and urodynamically confirmed occult SUI were enrolled in the present study. Surgical intervention included transvaginal prolapse repair and concomitant prophylactic transobturator tension-free vaginal tape. The main outcome measures were procedure-related complications, early and late postoperative morbidity, postoperative urodynamic SUI, persistent or de novo overactive bladder, and bladder outlet obstruction. RESULTS: No cases of significant blood loss, hematoma formation, or bladder injury occurred. Of the 117 patients, 6 (5.1%) had immediate postoperative voiding difficulties necessitating catheterization for >2 days. Late postoperative morbidity was assessed in 110 patients with ≥3 months of follow-up (mean 27.2 ± 17.7). Of these 110 patients, 7 (6.4%) had protracted postoperative thigh pain with spontaneous resolution within 1-3 months, and 7 (6.4%) had developed recurrent urinary tract infections. No cases of vaginal erosion developed. The functional outcome analysis was restricted to 92 patients with ≥12 months of follow-up (mean 31 ± 16). Of the 92 patients, 13 (14%) were found to have urodynamic SUI. However only 2 patients (2.2%) were symptomatic for a subjective and objective cure rate of 97.8% and 86%, respectively. Of the 34 patients who had had overactive bladder preoperatively, 22 (64.7%) had persisting symptoms postoperatively. An additional 4 patients (6.9%) had developed de novo overactive bladder symptoms, and 1 patient had bladder outlet obstruction. CONCLUSIONS:
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Authors | Asnat Groutz, Ishai Levin, Ronen Gold, David Pauzner, Joseph B Lessing, David Gordon |
Journal | Urology
(Urology)
Vol. 76
Issue 6
Pg. 1358-61
(Dec 2010)
ISSN: 1527-9995 [Electronic] United States |
PMID | 20974490
(Publication Type: Evaluation Study, Journal Article)
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Copyright | Copyright © 2010 Elsevier Inc. All rights reserved. |
Topics |
- Aged
- Female
- Follow-Up Studies
- Humans
- Middle Aged
- Pain
(etiology)
- Pelvic Organ Prolapse
(surgery)
- Postoperative Complications
(epidemiology, etiology, surgery, therapy)
- Recurrence
- Retrospective Studies
- Risk
- Suburethral Slings
- Treatment Outcome
- Urinary Bladder Neck Obstruction
(etiology)
- Urinary Bladder, Overactive
(etiology, surgery)
- Urinary Catheterization
- Urinary Incontinence, Stress
(etiology, surgery)
- Urinary Tract Infections
(epidemiology)
- Urodynamics
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