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Comparison of midurethral sling outcomes with and without concomitant prolapse repair

Authors
 E Jung Han  ;  Soo Rim Kim  ;  Sei Kwang Kim  ;  Sang Wook Bai 
Citation
 Obstetrics & Gynecology Science, Vol.57(1) : 50-58, 2014 
Journal Title
Obstetrics & Gynecology Science
ISSN
 2287-8572 
Issue Date
2014
Keywords
Midurethral slings ; Pelvic organ prolapse ; Urodynamics
Abstract
Objective : We compared the outcomes of the midurethral sling (MUS) with and without concomitant prolapse repair.

Methods : We retrospectively reviewed the outcomes of 203 women who underwent MUS at Severance Hospital from January 2009 to April 2012 with and without concomitant prolapse repair. Patients completed the urogenital distress inventory questionnaire preoperatively and postoperatively. The outcomes were assessed by using validated questionnaires and reviewing medical records. McNemar's test, t-test, and multiple logistic regression were used for analysis.

Results : We noted that women who underwent MUS alone were more likely to experience urinary frequency (12% vs. 25%, P = 0.045), urgency (6% vs. 24%, P < 0.001), and bladder emptying difficulty (2% vs. 10%, P = 0.029) compared to those who underwent concomitant repair. Women who only MUS were more likely to experience discomfort in the lower abdominal or genital region compared to those who than those who underwent concomitant repair; however, the difference was not significant (5% vs. 11%, P = 0.181). In the MUS only group, maximal cystometric capacity (MCC) was a significant parameter of preoperative and postoperative urinary frequency (P = 0.042; odds ratio, 0.994; P = 0.020; odds ratio, 0.993), whereas the Valsalva leak point pressure (VLPP) was a significant factor of postoperative bladder emptying difficulty (P = 0.047; odds ratio, 0.970).

Conclusion : The outcomes did not differ between patients who underwent MUS alone and those with concomitant repair. In the MUS only group, MCC and VLPP were significant urodynamics study parameters related to urinary outcome.
Files in This Item:
T201400328.pdf Download
DOI
10.5468/ogs.2014.57.1.50
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sei Kwang(김세광)
Kim, Soo Rim(김수림)
Bai, Sang Wook(배상욱) ORCID logo https://orcid.org/0000-0001-7724-7552
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98122
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