Outcomes of minimally invasive suburethral slings with and without concomitant pelvic organ prolapse surgery.

Abstract

OBJECTIVE:

To assess subjective outcomes among patients who underwent minimally invasive suburethral sling (MIS) surgery for stress urinary incontinence with or without concurrent pelvic organ prolapse (POP) surgery.

METHODS:

In a prospective study between 2002 and 2010, patients who underwent MIS surgery with or without concomitant POP surgery at Croydon University Hospital, UK, completed the ICIQ-FLUTS and ICIQ-LUTSqol questionnaires on lower urinary tract symptoms and quality of life before and 12 months after surgery.

RESULTS:

Overall, 203 patients underwent MIS surgery alone and 91 underwent concomitant POP and MIS surgery. At 12 months, the response rate was 64.3%. Before surgery, there was no significant difference between the groups in any domain of ICIQ-FLUTS and ICIQ-LUTSqol, except for in the incontinence domain of ICIQ-FLUTS, for which scores were significantly worse in the MIS group (P=0.018). All domains of ICIQ-FLUTS and ICIQ-LUTSqol had improved after 1 year in both groups, except for the voiding domain of the ICIQ-FLUTS in the MIS group (P=0.054). After surgery, there was no difference between the groups in any domain (P>0.05). Complication rates were low in both groups.

CONCLUSION:

MIS with concomitant POP surgery is as safe and effective as MIS surgery alone.

• Authors: Madhu Naidu, Ranee Thakar, Abdul H Sultan
• Journal: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics (Int J Gynaecol Obstet) Vol. 127 Issue 1 Pg. 69-72 (Oct 2014) ISSN: 1879-3479 [Electronic] United States
• PMID: 24994496 (Publication Type: Clinical Trial, Journal Article)
• Copyright: Copyright © 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Topics

• Adult
• Female
• Follow-Up Studies
• Gynecologic Surgical Procedures
• Humans
• Middle Aged
• Minimally Invasive Surgical Procedures
• Pelvic Organ Prolapse (complications, surgery)
• Prospective Studies
• Quality of Life
• Suburethral Slings
• Treatment Outcome
• Urinary Incontinence, Stress (complications, surgery)