Outcomes of two different incision techniques for surgical treatment of stress urinary incontinence with concomitant anterior vaginal wall prolapse

Yonguç, Tarık; Bozkurt, İbrahim Halil; Arslan, Burak; Kozacıoğlu, Zafer; Gulden, Ismail; Günlüsoy, Bülent; Değirmenci, Tansu

doi:10.1007/s00345-014-1388-0

Cited by 6 publications

(8 citation statements)

References 22 publications

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“…[24] In our study, all the scores of KHO which is used to assess quality of life, improvement and the overall satisfaction was 88.4%, according to VAS in agreement with others [23,36] in which improvement, …”

Section: Discussionsupporting

confidence: 90%

“…In other studies [13,23] 11 and 6 patients had postoperative urine retention, respectively. Yonguc et al [36] , reported postoperative urinary retention in nine women (11.3%) in Group 1 (repairing cystocele through one incision), which required an indwelling catheterization for 7-14 days. There was no UR in Group 2 (cystocele repaired through two incisions).…”

Section: Discussionmentioning

confidence: 99%

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Transobturator four arms mesh in the surgical management of stress urinary incontinence with cystocele

Sherif

Othman

Eldkhakhany

et al. 2017

Turkish Journal of Urology

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Objective: This study aims to evaluate safety and efficacy of four arms polypropylene mesh in the longterm follow-up in the management of stress urinary incontinence (SUI) associated with cystocele. Material and methods:This prospective study was conducted on 50 female patients with SUI associated with cystocele. Patients underwent placement of transobturator four-arms mesh implants. Stress incontinence was evaluated using cough stress test with and without prolapse reduction, Stamey's grading of SUI, the validated Arabic version of the International Consultation on Incontinence Questionnaire-Short Form and King Health Questionnaire forms. Perioperative parameters evaluated included age, body mass index, grade of SUI, time of procedure, hospital stay after surgery, difference between pre-, and postoperative serum hemoglobin values, and need for blood transfusion. Follow-up visits were planned at 3, 9 and 18 months after surgery. Results:The mean operative time was 37.4±10.2 (25-60) minutes. Blood transfusion was not required. The mean hospital stay was 30.5±10 (24-48) hrs. Five (10%) patients had fever and urinary tract infections were noticed in five (10%) patients. Two (4%) women had urine retention after catheter removal and vaginal mesh erosion was present in one (2%) patient. Forty (80%) patients were cured from SUI, 8 (16%) patients were improved and 2 (4%) patients failed to respond. Conclusion:Cystocele associated with SUI can be repaired with transobturator four-arms mesh with promising results, improved quality of life, and tolerable side effects.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Transobturator four arms mesh in the surgical management of stress urinary incontinence with cystocele

Sherif

Othman

Eldkhakhany

et al. 2017

Turkish Journal of Urology

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“…Yonguc et al compared a double incision technique and a single incision technique and suggested that both techniques have satisfactory outcomes in a concomitant cystocele operation with TOT. No concomitant hysterectomy was performed in the same session . The operation time was significantly lower in a single incision technique.…”

Section: Discussionmentioning

confidence: 99%

Effect of concomitant single incision vaginal surgery on mid urethral sling success

Aydın

2015

Neurourology and Urodynamics

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“…Halbuki anterior tek bir insizyon kullanılması işlemi kolaylaştırırken daha iyi anatomik düzeltme sağlamaktadır. Tek insizyon ile mid üretral cerrahisinin başarısının etkilenmediği gösterilmiştir (29,30). Çalışmamıza katılanlar ve sistosel onarımı ile midüretral sling operasyonunu beraber yapanların %31,8'i tek anterior insizyon uyguluyorken, %68,2'si ilk önce üretra altından insizyon ile mid-üretral sling operasyonunu gerçekleştirip altından başka bir insizyon ile anterior vajinal duvar onarımını gerçekleştiriyordu.…”

Section: Bulgularunclassified

Anterior Colporrhaphy Technique and Approach Choices: Turkey Evaluation

Aydın¹,

Bakar²,

Batmaz³

et al. 2016

Haseki

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ÖzAmaç: Türkiye'de anterior vajinal duvar cerrahisi ile ilgilenen cerrahlar arasındaki anterior kolporafi tekniklerindeki ve yaklaşımlarındaki farklılıkları değerlendirmektir. Yöntemler: Preoperatif muayeneyi, anterior kolporafi tekniğini, operasyon tercihlerini ve postoperatif bakımı değerlendiren anket cerrahlara sunuldu. Direkt olarak, elektronik posta, telefon veya anlık mesajlaşma ile iletişime geçildi. Yirmi sekiz soruluk anketi kullandık. Data analizi yapıldı ve frekanslar hesaplandı. Bulgular: Anketi tamamlayan 116 kişi vardı. Büyük bir kısmını (%87,9) genç jinekologlar oluşturuyordu. Ürologlar çalışma popülasyonunun %9,5'ini oluşturuyordu. Paravajinal defekti değerlendirme oranı %75,9'du ve çoğunlukla rugaların izlenmesi ile değerlendiriliyordu. Transperineal 3D pelvik taban ultrasonografi kullanımı düşüktü (%5,7). Levator ani kas hasarını değerlendirme oranı %46,6 idi. Levator ani kas defekti için transperineal ultrasonografi kullananlar cerrahlar %19'du. Hidrodiseksiyon kullanımı, fasya plikasyonu, fazlalık vajina mukozasının çıkartılması ve sütur tercihleri konusunda farklılıklar mevcuttu. Anterior kolporafi için meş kullanımı nadir (%17,8) olup, çoğunlukla (%12,2) nüks olgularında kullanılıyordu. Paravajinal defekt onarımı yapanlar anketi cevaplayanlar içinde %31,9'du. Üriner kateter genellikle birinci veya ikinci gün çıkartılıyordu. Vajinal tampon genellikle operasyondan 24 saat sonra çıkartılıyordu. Sonuç:Türkiye'deki operatörler arasında anterior vajinal duvar onarımı teknikleri ve yaklaşımları çeşitlilik göstermektedir. Teknikler arasındaki bu farklılıklar en iyi cerrahi teknik konusunda fikir birliği olmadığını düşündürmektedir. Teşhis için kullanılan teknolojinin gelişimi ile birlikte operasyon seçenekleri de değişebilir. Anahtar Sözcükler: Kolporafi anterior, anterior vajinal duvar prolapsusu, sistosel, meş, paravajinal defekt onarımı Aim: To evaluate the diversity in techniques and approaches for anterior colporrhaphy among operators in Turkey. Methods:A survey evaluating the preoperative examination, technique of anterior colporrhaphy, operation choice and postoperative care was presented to surgeons. We contacted via directly, mail or telephone. We used 28 item questionnaire.Results: Majority (87.9%) was composed of young gynecologists. Urologists composed of the 9.5% of the study population. The rate of paravaginal defect evaluation was 75.9% and mostly by inspection the presence of vaginal rugae. The use of transperineal 3D pelvic floor ultrasonography was low (5.7%). The evaluation of levator ani muscle defect was 46.6%. The usage of the transperineal 3D ultrasonography for levator ani muscle defect was 19 percent of operators. There were diversity in use of hydrodissection, fascial plication, excision of vaginal mucosa and suture choice. Usage of mesh for anterior colporrhaphy was limited (17.8%) and mostly in recurrent cases (12.2%). Paravaginal defect repair rate was 31.9%. The urinary catheter was generally removed one or two day after operation. Vaginal pack usually removed 24 hour...

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Outcomes of two different incision techniques for surgical treatment of stress urinary incontinence with concomitant anterior vaginal wall prolapse

Abstract: Both incision techniques have satisfactory outcomes in the surgical treatment of SUI with cystocele; nevertheless, the postoperative complications favor the double-incision technique.

Cited by 6 publications

References 22 publications

Transobturator four arms mesh in the surgical management of stress urinary incontinence with cystocele

Transobturator four arms mesh in the surgical management of stress urinary incontinence with cystocele

Effect of concomitant single incision vaginal surgery on mid urethral sling success

Anterior Colporrhaphy Technique and Approach Choices: Turkey Evaluation

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