Home > Riviste > Minerva Chirurgica > Fascicoli precedenti > Minerva Chirurgica 2015 Giugno;70(3) > Minerva Chirurgica 2015 Giugno;70(3):161-6

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti

MINERVA CHIRURGICA

Rivista di Chirurgia


Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,877


eTOC

 

ARTICOLI ORIGINALI  


Minerva Chirurgica 2015 Giugno;70(3):161-6

lingua: Inglese

Tension-free vaginal tape procedure for treatment of female stress urinary incontinence with intrinsic sphincter deficiency: short-term outcomes

Kuntay Kokanali M., Cavkaytar S., Onur Topçu H., Ceran U., Aksakal O., Doğanay M.

Dr Zekai Tahir Burak Woman’s Health Education and Research Hospital, Ankara, Turkey


PDF  


AIM: The aim of this paper was to evaluate the short-term outcomes of tension-free vaginal tape procedures in female stress urinary incontinence with intrinsic sphincter deficiency, and to identify possible effective factors for cure rate of this treatment.
METHODS: Forty-nine women who underwent tension-free vaginal tape procedures due to urodynamically proven stress urinary incontinence with intrinsic sphincter deficiency were included in this study. All women were followed up at 6 months postoperatively. Outcomes were evaluated by cough/Valsalva stress test, incontinence-related quality of life forms (Incontinence Impact Questionnaire and Urogenital Distress Inventory). Procedure-related complications were noted. Multivariable regression was used to identify the odds for poor surgical outcome.
RESULTS: In 49 patients, postoperative quality of life scores decreased significantly as compared with preoperative scores. Forty-one (83.7%) patients were found as cured, while 3 (6.1%) women were in failure. The complaints decreased in 5 (10.2%) women, postoperativeley. Low maximal urethral clossure pressure measured by urodynamics was found as a significant effective factor for poor surgical outcome.
CONCLUSION: Tension-free vaginal tape is an effective minimal invasive surgical procedure with low complication incidence for female stress urinary incontinence with intrinsic sphincter deficiency in short term. However, intrinsic sphincter deficiency patients with low maximal urethral closure pressure should be informed preoperatively about possible poor outcomes.

inizio pagina

Publication History

Per citare questo articolo

Corresponding author e-mail

k.kokanal@yahoo.com.tr