Occurrence of Pre- and Postoperative Stress Urinary Incontinence in 105 Patients Who Underwent Tension-Free Vaginal Mesh Surgery for Pelvic Organ Prolapse: A Retrospective Study. (6th February 2014)

• Record Type: Journal Article
• Authors: Kanasaki, Haruhiko; Oride, Aki; Mitsuo, Tomomi; Miyazaki, Kohji
• Other Names: Larsson P. G. Academic Editor.; Palomba S. Academic Editor.; Xercavins J. Academic Editor.
• Is Part Of: ISRN obstetrics and gynecology. Volume 2014(2014)
• Publication Date: 2014-02-06
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; Pregnancy Complications; Genital Diseases, Female; Gynecology; Obstetrics; Electronic journals; Periodical; Periodicals; Fulltext; Internet Resources; Periodicals; 618.2
• DOI: 10.1155/2014/643495
• Languages: English
• ISSNs: 2090-4436

Abstract

Abstract : Objective . To examine retrospectively the occurrence of stress urinary incontinence (SUI) in patients who underwent transvaginal mesh repair (TVM) for pelvic organ prolapse (POP). Methods . The presence of preoperative SUI and postoperative changes in SUI was retrospectively analyzed for 105 patients who underwent TVM for POP between September 2009 and September 2012. Results . Preoperative SUI was observed in almost half of the patients (n = 50 ) who underwent TVM surgery. No significant differences were seen in patient age, pelvic organ prolapse quantification (POP-Q) stage, or primary POP complaint between those with and without preoperative SUI. Of the 50 patients with preoperative SUI, SUI was resolved in 14 (28%) following TVM surgery. Of the 55 patients without preoperative SUI, de novo postoperative SUI appeared in 26 (47.3%), of whom approximately half experienced resolution or improvement of SUI within 6 months postoperatively. There was no relationship between preoperative residual urine volume and occurrence of postoperative SUI. Conclusion . TVM surgery is a useful surgical method that can replace traditional methods for treating POP, but sufficient informed consent with regards to the onset of postoperative SUI is required.