Resumen La ureterorrenoscopia flexible es cada vez más utilizada como tratamiento de primera línea para pacientes con litiasis renal y del uréter proximal, con tasas de éxito variables entre los diferentes grupos de autores y con gran heterogeneidad a la hora de definir el tamaño mínimo para definir tasa libre de cálculo. Se presenta una revisión de la literatura sobre el estado del arte en ureterorrenoscopia flexible, se aclaran diferentes conceptos y se exponen consejos y trucos que se han implementado en un centro de referencia para el manejo de litiasis urinaria, con el objetivo de disminuir las complicaciones, mejorar la tasa libre de cálculos y mejorar el desempeño del procedimiento al urólogo.
Introduction: Female urinary incontinence is a common problem in middle-aged women. Up to 50% of the adult female population have stress urinary incontinence, and the prevalence of sexual dysfunction in these women is around 50%. The aim of this study is to evaluate sexual function before and after a urinary incontinence surgical procedure using tension-free vaginal tape (TVT) or transobturator tape (TOT). Material and methods: A prospective study was conducted on 22 sexually active women who underwent TVT or TOT procedures for stress urinary incontinence by assessing the Female Sexual Function Index (FSFI) before, and 3 and 6 months after surgery. Results: The study included 22 women with a mean age of 48.3 ± 6.46 years, who underwent TVT or TOT for stress urinary incontinence. The median abdominal leak point pressure (ALPP) was 85.5 ± 17.2 cm H 2 O, with a median pelvic organ prolapse quantification (POPQ) of 0.28 ± 0.45. Female sexual function assessed with the FSFI improved in all the aspects of the questionnaire. The mean total FSFI score before surgery was 21.57 ± 3.53, at 3 months after surgery it was 26.05 ± 3 (P = 0.0001), and at 6 months post-op it was 27.28 ± 5.03 (P = 0.001). Coital incontinence improved in 90% of the participants, and 95% responded that they were satisfied with the results of the procedure.
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