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Arch Gynecol Obstet ; 280(3): 375-80, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19148661

RESUMO

OBJECTIVE: Transobturator tape (TOT) is a newly described procedure for the treatment of female stress urinary incontinence. The success of TOT operation along with prolapsed surgery has not been well described. The aim of this study is to determine the complication and success rates of TOT concomitant with pelvic prolapse surgery. STUDY DESIGN: Totally, 72 women who had TOT operation along with vaginal hysterectomy, anterior posterior colporrhaphy were re-evaluated with UDI6 and IIQ7 forms 1 year of surgery. Preoperatively, all patients had clinically pure stress incontinence. RESULTS: At 1 year, 80.6% of patients were cured with only 16.7% presenting de novo urge incontinence, while 2.8% of women retaining stress urinary incontinence. The patients with lower gravida and number of vaginal delivery had significantly higher operation success rates. The IIQ7 score significantly increased by increase in urinary catheter stay day. The women with the history of cesarean delivery and lower hospital stay had significantly higher satisfaction scores. Of the factors only, the number of gravida could be used to predict treatment failure in the entire group. CONCLUSION: Transobturator tape procedure could be accompanied safely with prolapse surgery.


Assuntos
Procedimentos Cirúrgicos em Ginecologia/efeitos adversos , Incontinência Urinária por Estresse/cirurgia , Prolapso Uterino/cirurgia , Vagina/cirurgia , Adulto , Idoso , Materiais Biocompatíveis , Feminino , Humanos , Histerectomia Vaginal/efeitos adversos , Pessoa de Meia-Idade , Satisfação do Paciente , Implantação de Prótese/efeitos adversos , Qualidade de Vida , Fatores de Risco , Slings Suburetrais , Resultado do Tratamento
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