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Clinical efficacy and safety of transvaginal anterior wall sling release in the treatment of voiding dysfunction after the anterior vaginal wall sling procedure / 中华老年医学杂志
Chinese Journal of Geriatrics ; (12): 710-713, 2022.
Article in Chinese | WPRIM | ID: wpr-957285
ABSTRACT

Objective:

To analyze the clinical efficacy and safety of surgical excision of slings in the treatment of voiding dysfunction after the midurethral sling(MUS)procedure.

Methods:

A retrospective analysis was conducted on postoperative patients with voiding dysfunction after MUS from January 2016 to June 2021.The ages of the patients ranged from 47 to 73 years, with an average of(61.3±8.2)years.The patients were followed up for preoperative and postoperative urinary flow rates and PVR, and results from the ICI-Q-SF were collected from patients for statistical analysis.

Results:

The shortest time from the first sling procedure to the occurrence of voiding dysfunction was 2 months and the longest was 7 months, with an average of(3.8±1.8)months.The earliest surgical excision was performed 5 months after MUS and the latest was done 24 months after MUS, with an average of(12.3±6.6)months.Among the 12 patients, symptoms of 11 patients after surgical excision of slings were significantly improved, compared with pre-surgery data.The urinary flow rate was 9.3(3.7, 13.2)ml/s before surgery and 21.5(15.7, 34.2)ml/s after surgery, P=0.004; The residual urine volume before surgery 315(200, 377)ml, after surgery 0(0, 80)points, P<0.001, both with statistical significance; preoperative ICI-Q-SF 0(0, 5)points, postoperative 4(0, 8)points, There was no significant difference between before and after operation( P=0.348).

Conclusions:

Surgical excision of slings is safe and effective in the treatment of voiding dysfunction after MUS.

Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Geriatrics Year: 2022 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Geriatrics Year: 2022 Type: Article