Comparison of outcomes of Burch colposuspension and transobturator tape and single incision needleless procedures (DynaM
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UROLOGY - ORIGINAL PAPER
Comparison of outcomes of Burch colposuspension and transobturator tape and single incision needleless procedures (DynaMesh®‑SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy Yesim Akdemir1 · Fadime Dincer1 · Cagatay Buyukuysal2 · Ulku Ozmen1 · Muge Harma1 · Mehmet Ibrahim Harma1 Received: 15 May 2020 / Accepted: 18 June 2020 © Springer Nature B.V. 2020
Abstract Purpose Women with stress urinary incontinence (SUI) often require combined pelvic reconstructive surgeries because of shared risk factors of pelvic organ prolapse. The purpose of this study was to evaluate efficacies of Burch colposuspension, transobturator tape (TOT), and single-incision needleless (DynaMesh®-SIS minor) procedures in patients with SUI who also underwent combined pelvic reconstructive surgery or hysterectomy. Methods We performed this retrospective cohort study that comprising 122 patients who either underwent Burch colposuspension (n:43), TOT (n:40), or SIS (n:39) procedures along with pelvic reconstructive surgery or hysterectomy between January 2010 and July 2018. During the clinical follow-up, we analyzed cure rates, and surgical success rates of SUI surgery, quality of life, and symptom severity by IIQ-7, UDI-6, SSI, SSQ-8, OAB-V8, and PGI-I scale scores. The primary outcome was surgical success, whereas secondary outcomes included complications and patient-reported outcomes in the quality of life. Results We found that surgical success rates were higher in Burch group than SIS group and higher in TOT group than in SIS group (88.4% vs 61.5% and 87.5% vs 61.5%, p = 0.003). The quality of life was lower in SIS group than in Burch group. Conclusions Both Burch and TOT are effective procedures in patients with SUI who require additional pelvic surgeries. Although surgical outcomes of SIS procedure in patients with SUI who underwent concomitant pelvic surgeries in our study were not promising, further studies with SIS are needed to clarify these observations. Keywords Burch colposuspension · Concomitant surgery · Pelvic reconstructive surgery · Single incision sling · Stress urinary incontinence · Transobturator tape Abbreviations TOT Transobturator tape SUI Stress urinary incontinence Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11255-020-02549-0) contains supplementary material, which is available to authorized users. * Yesim Akdemir [email protected] 1
Department of Obstetrics and Gynaecology, School of Medicine, Bulent Ecevit University, Zonguldak BEÜ, Esenköy, Kozlu, 67000 Zonguldak, Turkey
Department of of Biostatistics, School of Medicine, Bulent Ecevit University, Zonguldak, Turkey
2
SIS Single-incision needleless IIQ-7 Incontinence Impact Questionnaire UDI-6 Urogenital Distress Inventory SSI Sandvik Severity Index SSQ-8 Surgical Satisfaction Questionnaire OAB-V8 Overactive Bladder Questionnaire V8 PGI-I Patient Globa
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