Abstract | INTRODUCTION AND HYPOTHESIS: METHODS: Patients with urodynamically proven stress urinary incontinence (SUI) and asymptomatic stage II cystocele were randomly and equally allocated to either a TVT and concomitant cystocele repair group or TVT only group. SUI was corrected with TVT in all cases. The cystocele repair procedure was performed with Gynemesh. Lower urinary tract symptoms and surgical outcome were assessed at postoperative year 1. Lower urinary tract symptoms were assessed with the American Urological Association Symptom Score (AUASS) questionnaire, uroflowmetry, and postvoid residual (PVR). RESULTS: The cure rate of TVT only and the concomitant repair group was 87 and 91%, respectively (p > 0.05). Cystocele was cured in all patients in the concomitant repair group. After the operation, the total AUASS were 6.4 and 8.4 in the TVT only group and concomitant repair group, respectively, with no statistical difference. There was no difference in the change in peak flow rate (Qmax) and PVR between the two groups. The prevalence of postoperative mixed incontinence was not different between the two groups. CONCLUSIONS:
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Authors | Hyoung Keun Park, Sung Hyun Paick, Yong Soo Lho, Gwoan Youb Choo, Hyeong Gon Kim, Jaekyung Choi |
Journal | International urogynecology journal
(Int Urogynecol J)
Vol. 24
Issue 7
Pg. 1123-6
(Jul 2013)
ISSN: 1433-3023 [Electronic] England |
PMID | 23124692
(Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Topics |
- Aged
- Asymptomatic Diseases
- Cystocele
(complications, surgery)
- Female
- Humans
- Lower Urinary Tract Symptoms
(complications, surgery)
- Middle Aged
- Suburethral Slings
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