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The impact of concurrent pelvic organ prolapse reconstructive surgery on midurethral sling procedure outcome
Affiliations- Sincan Nafiz Körfez State Hospital, Ankara, Türkiye
- University of Health Sciences, Zekai Tahir Burak Women’s Health Education and Research Hospital, Ankara, Turkey.
- Polatlı State Hospital, Obstetrics and Gynecology Department, Ankara, Türkiye
- Karabük Research and Education Hospital, Obstetrics and Gynecology Department, Karabük, Turkey
- Bursa Yüksek İhtisas Training and Researh Hospital Department of Obstetrics and Gynecology
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Abstract
Objectives: To evaluate the effect of concurrent pelvic organ prolapse (POP) reconstructive surgery on midurethral sling (MUS) procedure outcome.
Material and methods: The present retrospective study included 300 women with urodynamically diagnosed stress urinary incontinence that underwent MUS procedures with or without concurrent POP reconstructive surgery. Patients were divided into four groups according to the performed surgery; 1) transobturator tape (TOT), 2) TOT with POP surgery (anterior colporrhaphy, posterior colporrhaphy and vaginal hysterectomy), 3) tension free vaginal tape (TVT), 4) TVT with POP surgery. Outcomes of surgeries for each group were evaluated postoperatively at the end of the first and sixth month by performing a cough stress test and also using the Incontinence Impact Questionnaire-7 (IIQ-7) and Urogenital Distress Inventory (UDI-6) questionnaires. Presence of a negative cough stress test was defined as “Cure”. Multivariate regression was used to identify the parameters for surgical failure.
Results: Forty-two, 70, 49 and 139 women underwent isolated TOT, concurrent TOT and POP, isolated TVT and concurrent TVT and POP surgery, respectively. Postoperative UDI-6 score and postoperative cure rate were significantly higher in the only TOT group as compared to the TOT + POP group. However, in multiple regression analysis, women’s age, parity, body mass index, menopausal status, preoperative urodynamic parameters, MUS types and presence of any concomitant POP reconstructive surgery were found to have no significant effect on surgical outcome.
Conclusions: Concurrent POP reconstructive surgery including anterior colporrhaphy, posterior colporrhaphy and vaginal hysterectomy have no affect MUS procedure outcomes.
Abstract
Objectives: To evaluate the effect of concurrent pelvic organ prolapse (POP) reconstructive surgery on midurethral sling (MUS) procedure outcome.
Material and methods: The present retrospective study included 300 women with urodynamically diagnosed stress urinary incontinence that underwent MUS procedures with or without concurrent POP reconstructive surgery. Patients were divided into four groups according to the performed surgery; 1) transobturator tape (TOT), 2) TOT with POP surgery (anterior colporrhaphy, posterior colporrhaphy and vaginal hysterectomy), 3) tension free vaginal tape (TVT), 4) TVT with POP surgery. Outcomes of surgeries for each group were evaluated postoperatively at the end of the first and sixth month by performing a cough stress test and also using the Incontinence Impact Questionnaire-7 (IIQ-7) and Urogenital Distress Inventory (UDI-6) questionnaires. Presence of a negative cough stress test was defined as “Cure”. Multivariate regression was used to identify the parameters for surgical failure.
Results: Forty-two, 70, 49 and 139 women underwent isolated TOT, concurrent TOT and POP, isolated TVT and concurrent TVT and POP surgery, respectively. Postoperative UDI-6 score and postoperative cure rate were significantly higher in the only TOT group as compared to the TOT + POP group. However, in multiple regression analysis, women’s age, parity, body mass index, menopausal status, preoperative urodynamic parameters, MUS types and presence of any concomitant POP reconstructive surgery were found to have no significant effect on surgical outcome.
Conclusions: Concurrent POP reconstructive surgery including anterior colporrhaphy, posterior colporrhaphy and vaginal hysterectomy have no affect MUS procedure outcomes.
Keywords
concomitant surgery, midurethral sling, outcome, pelvic organ prolapse
About this articleTitle
The impact of concurrent pelvic organ prolapse reconstructive surgery on midurethral sling procedure outcome
Journal
Issue
Article type
Research paper
Pages
190-195
Published online
2018-04-30
Page views
1497
Article views/downloads
1247
DOI
Pubmed
Bibliographic record
Ginekol Pol 2018;89(4):190-195.
Keywords
concomitant surgery
midurethral sling
outcome
pelvic organ prolapse
Authors
Buğra Çoşkun
Orhan S. Aksakal
Bora Çoşkun
Engin Yurtçu
Mehmet Özgür Akkurt
Özgül Kafadar
Melike Doğanay
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