RT info:eu-repo/semantics/article
T1 Comparative analysis of the efficacy and complications of mid-urethral slings when inserted either in isolation or in conjunction with pelvic organ prolapse surgery
A1 Ruiz Pérez, Esther
A1 Miguel Manso, María Sonia de
A1 García García, Elena
A1 Gobernado Tejedor, Julio Alberto
A1 Sanz Díaz-Heredero, Álvaro
A1 Casamayor Del Nogal, Lidia
A1 Canales Martínez, Sandra
A1 Bayón Pascual, Jimena
K1 Stress urinary incontinence
K1 Pelvic organ prolapse
K1 Total urinary continence
K1 Transobturator mid-urethral sling
K1 32 Ciencias Médicas
AB Introduction Stress urinary incontinence (SUI) is a highly prevalent condition that affects between 20 and 50% of the femalepopulation. 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 comparingtwo groups: group A, of patients undergoing surgery for stress urinary incontinence (SUI) by insertion of TO mesh, and groupB, 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) andTO band simultaneously.Variables included: total urinary continence, objective urinary continence, subjective urinary continence (satisfaction levelsand 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 thedegree 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 safetyand without differences regarding complications.
PB Springer
YR 2024
FD 2024
LK https://uvadoc.uva.es/handle/10324/75224
UL https://uvadoc.uva.es/handle/10324/75224
LA eng
NO Archives of Gynecology and Obstetrics, 2024, vol. 310, n. 5, p. 2697-2710
NO Producción Científica
DS UVaDOC
RD 24-abr-2025