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Two-year urinary outcomes of sacrocolpopexy with or without transobturator tape: results of a prolapse-reduction stress test-based approach

Authors
 Myung Jae Jeon  ;  Ji Young Kim  ;  Yeo Jung Moon  ;  Sang Wook Bai  ;  Eun-Hee Yoo 
Citation
 INTERNATIONAL UROGYNECOLOGY JOURNAL, Vol.25(11) : 1517-1522, 2014 
Journal Title
INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN
 0937-3462 
Issue Date
2014
MeSH
Aged ; Female ; Follow-Up Studies ; Humans ; Middle Aged ; Pelvic Organ Prolapse/surgery* ; Postoperative Complications/etiology* ; Prospective Studies ; Reoperation ; Sacrum/surgery* ; Suburethral Slings* ; Treatment Outcome ; Urinary Incontinence, Stress/diagnosis ; Urinary Incontinence, Stress/etiology* ; Urinary Incontinence, Stress/surgery ; Urinary Incontinence, Urge/etiology ; Vagina/surgery*
Keywords
Prolapse-reduction stress test ; Sacrocolpopexy ; Stress urinary incontinence ; Transobturator tape
Abstract
INTRODUCTION AND HYPOTHESIS:
Women undergoing sacrocolpopexy (SCP) are at risk for postoperative stress urinary incontinence (SUI). However, the optimal management for this condition remains debatable. The aim of this study was to evaluate urinary outcomes 2 years after SCP with or without transobturator tape (TOT) based on the results of a prolapse-reduction stress test.
METHODS:
A prospective, observational study was conducted assessing a cohort of women undergoing SCP. Patients were assigned to the TOT or non-TOT group based on results of a prolapse-reduction stress test. The primary outcome was SUI (defined as a positive cough stress test or bothersome symptoms) or additional surgery for this condition.
RESULTS:
Among the 247 women enrolled, 223 (90 %) received surgery per assignment and completed the follow-up. Two years after surgery, 5.4 % of women in the TOT group and 28.6 % in the non-TOT group had SUI or received additional anti-incontinence surgery (p < 0.01). In the non-TOT group, more women with symptoms of SUI prior to surgery had postoperative SUI or received additional anti-incontinence surgery than those without symptoms (42.9 % vs. 20.0 %, p = 0.01).
CONCLUSIONS:
A preoperative prolapse-reduction stress test alone is not sufficient to determine the need for anti-incontinence surgery at the time of SCP. In particular, women with symptoms of SUI despite a negative prolapse-reduction stress test are more likely to experience postoperative SUI or additional anti-incontinence surgery.
Full Text
http://link.springer.com/article/10.1007%2Fs00192-014-2410-1
DOI
10.1007/s00192-014-2410-1
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Moon, Yeo Jung(문여정)
Bai, Sang Wook(배상욱) ORCID logo https://orcid.org/0000-0001-7724-7552
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/100002
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