Aims: To determine and compare the effectiveness, peri- and postoperative outcomes of mid-urethral sling (MUS) operations for urinary incontinence, using 2 different patient positions during surgery.
Methods: In this study, 146 patients underwent MUS surgery in a urogynecology clinic. Of them, 72 patients underwent the intraoperative surgical procedure of reverse trendelenburg patient positioning for tape adjustment (group 1) and the remaining 74 patients had the routine surgical procedure of MUS surgery (group 2). The primary outcome was the evaluation of postoperative urine leaks, using the stress test, and secondary outcomes were quality of life, using the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF, Turkish version) and complication rates.
Results: There were no significant differences in demographic variables between the 2 groups. The overall cure rates for incontinence in the lithotomy position was 97.22 and 85.13% for groups 1 and 2, respectively, in which group 1 had a statistically significant decrease in urine leak postoperatively (p < 0.05; OR 3.08, 95% CI 2.78-22.14). The postoperative ICQ-SF scores showed no significant difference between the 2 groups (p = 0.19).
Conclusion: Applying a 45-degree reverse trendelenburg position for tape adjusting during MUS operation results in a greater objective cure rate compared with the typical dorsolithotomy position; however, there was no difference in the subjective outcome.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1159/000441620 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Effectiveness and Safety Profile of Urethral Bulking with Bulkamid for Stress Urinary Incontinence: A French Multi-Center Cohort Study.
Int Urogynecol J
December 2024
Clinique Sainte Barbe, Groupe Hospitalier Saint Vincent, Strasbourg, France.
Introduction And Hypothesis: Various treatment options are currently available for the management of stress urinary incontinence (SUI). This study was aimed at determining the effectiveness and safety profile of Bulkamid, and identify predictive factors of clinical success.
Methods: This retrospective study conducted in two French urogynecology university centers between September 2019 and December 2023 included all patients with urinary incontinence who received Bulkamid.
A Cheaper Alternative to Conventional Mid-urethral Sling Surgery Can Also Have Comparable Obstetric Outcome in the Long Term: A Case Report.
Cureus
November 2024
Obstetrics and Gynecology, Tata Central Hospital, Dhanbad, IND.
Stress urinary incontinence (SUI) is a common disorder in females, which significantly affects the quality of life in females. There are many consensus that describe the safety of childbearing after surgery for SUI, but still, a large proportion of surgeons worldwide recommend that women should wait to complete childbearing before pursuing surgical treatment for SUI. There is also some opinion that if patients conceive after surgical treatment for SUI, women should be delivered by cesarean section.
View Article and Find Full Text PDFEfficacy of Tension-Free Vaginal Tape versus Trans-Obturator Transvaginal Tape in the Treatment of Female Stress Urinary Incontinence: A Meta-Analysis.
Arch Esp Urol
November 2024
Gynecology Department, Ningbo No. 2 Hospital, 315000 Ningbo, Zhejiang, China.
Article Synopsis
- * A comprehensive search across multiple databases identified 13 high-quality randomized controlled trials to assess cure rates and complications associated with both surgical methods.
- * Results showed that both TVT and TVT-O had similar mid- to long-term cure rates for SUI, but TVT was linked to a higher risk of hematoma and a lower risk of thigh/groin pain compared to TVT-O.
Comparative Analysis of the Efficacy of Different Surgical Modalities for the Treatment of Female Stress Urinary Incontinence: A Multicenter Retrospective Study.
Int J Womens Health
November 2024
Department of Gynecology, Minda Hospital of Hubei Minzu University, Enshi, Enshi Tujia and Miao Autonomous Prefecture, Hubei, People's Republic of China.
Article Synopsis
- The study aimed to compare the effectiveness of four surgical techniques for treating female stress urinary incontinence (SUI) using a sample of 243 patients divided into four groups based on the method used: AFS, TVT-O, epithelial flap suspension, and ASIS.
- Results showed no significant differences in treatment outcomes across the groups, but the ASIS group had better metrics in terms of reduced intraoperative bleeding and shorter hospital stays compared to others.
- The TVT-O technique was associated with a higher occurrence of postoperative medial thigh pain, while the AFS group had more cases of urine retention, highlighting the different risk profiles of each surgical method despite overall effectiveness.
Objective: This retrospective cohort study aimed to investigate postoperative pain levels and analgesic drug requirements in women who underwent GA or SA during vaginal pelvic floor surgeries.
Design: A retrospective cohort study.
Participants/materials, Setting, Methods: Women aged 18 or above who underwent vaginal pelvic floor surgery between 2019 and 2021 were included in the study.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!