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    •   UVaDOC Startseite
    • WISSENSCHAFTLICHE ARBEITEN
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    • Dpto. Pediatría e Inmunología, Obstetricia y Ginecología, Nutrición y Bromatología, Psiquiatría e Historia de la Ciencia
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    Por favor, use este identificador para citar o enlazar este ítem:https://uvadoc.uva.es/handle/10324/75224

    Título
    Comparative analysis of the efficacy and complications of mid-urethral slings when inserted either in isolation or in conjunction with pelvic organ prolapse surgery
    Autor
    Ruiz Pérez, Esther
    Miguel Manso, María Sonia deAutoridad UVA
    García García, ElenaAutoridad UVA Orcid
    Gobernado Tejedor, Julio AlbertoAutoridad UVA
    Sanz Díaz-Heredero, Álvaro
    Casamayor Del Nogal, Lidia
    Canales Martínez, Sandra
    Bayón Pascual, Jimena
    Año del Documento
    2024
    Editorial
    Springer
    Descripción
    Producción Científica
    Documento Fuente
    Archives of Gynecology and Obstetrics, 2024, vol. 310, n. 5, p. 2697-2710
    Zusammenfassung
    Introduction Stress urinary incontinence (SUI) is a highly prevalent condition that affects between 20 and 50% of the female population. Pelvic organ prolapse (POP) can coexist with SUI and both can be addressed through a vaginal approach. How- ever, it is unclear whether simultaneous surgery for these two conditions can influence the outcome of incontinence treatment. Objective To evaluate the objective and subjective effectiveness of the transobturator suburethral (TO) band by comparing two groups: group A, of patients undergoing surgery for stress urinary incontinence (SUI) by insertion of TO mesh, and group B, formed for patients requiring simultaneous correction of pelvic organ prolapse (POP) in addition to TO mesh insertion. Materials and methods This is an observational, descriptive and retrospective study in which 91 patients participated: 33 (group A) underwent surgery for SUI and 58 (group B) underwent corrective surgery for pelvic organ prolapse (POP) and TO band simultaneously. Variables included: total urinary continence, objective urinary continence, subjective urinary continence (satisfaction levels and two validated questionnaires (PGI-1 and ICIQ-SF)) and complications. Results Regarding total continence, from the seventh to the ninth year, statistically significant differences were observed, with total continence being higher in group A. Objective continence decreased in both groups during the follow-up period. No significant differences were found between the two groups regarding subjective urinary continence (ICIQ-SF) and the degree of improvement after surgical treatment (PGI-1). The level of satisfaction after surgery was high in both groups. Regarding complications, there were no statistically significant differences. Conclusions Isolated surgery for SUI could be considered more effective in achieving total and objective continence. How- ever, the insertion of the TO band in both cases improves subjective urinary continence and quality of life with great safety and without differences regarding complications.
    Materias Unesco
    32 Ciencias Médicas
    Palabras Clave
    Stress urinary incontinence
    Pelvic organ prolapse
    Total urinary continence
    Transobturator mid-urethral sling
    Revisión por pares
    SI
    DOI
    10.1007/s00404-024-07691-z
    Patrocinador
    Publicación en abierto financiada por el Consorcio de Bibliotecas Universitarias de Castilla y León (BUCLE), con cargo al Programa Operativo 2014ES16RFOP009 FEDER 2014-2020 DE CASTILLA Y LEÓN, Actuación:20007-CL - Apoyo Consorcio BUCLE
    Version del Editor
    https://link.springer.com/article/10.1007/s00404-024-07691-z
    Propietario de los Derechos
    © 2024 The Author(s)
    Idioma
    eng
    URI
    https://uvadoc.uva.es/handle/10324/75224
    Tipo de versión
    info:eu-repo/semantics/publishedVersion
    Derechos
    openAccess
    Aparece en las colecciones
    • DEP55 - Artículos de revista [206]
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    Dateien zu dieser Ressource
    Nombre:
    Comparative-analysis -efficacy.pdf
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    790.0Kb
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