Stress urinary incontinence after transobturator mesh for cystocele repair

Shek, K.L., Rane, A., Goh, J., and Dietz, H.P. (2009) Stress urinary incontinence after transobturator mesh for cystocele repair. International Urogynecology Journal, 20 (4). pp. 421-425.

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Abstract

Cystocele repair can lead to de novo stress urinary incontinence (SUI) or exacerbate pre-existing SUI. This study was designed to determine the effect of cystocele repair by transobturator mesh on SUI. In a retrospective observational study, we saw 93 patients after a transobturator mesh procedure. Of those, 57 women had not undergone a concomitant anti-incontinence procedure. We analyzed their clinical data and ultrasound datasets. At a median follow-up of 9 months, 21 of 24 preoperatively stress incontinent women reported cure/improvement, one patient reported worsened SUI. Seven of 33 preoperatively continent women complained of de novo SUI. There is a net positive effect on SUI (McNemar χ2 exact test p = 0.013) after transobturator mesh. A narrower gap between symphysis pubis and mesh was associated with a positive outcome (p = 0.015 on ANOVA). Transobturator mesh for cystocele repair appears to have a net positive effect on SUI.

Item ID: 5320
Item Type: Article (Research - C1)
ISSN: 1433-3023
Keywords: cystocele, mesh, pelvic floor ultrasound, pelvic organ prolapse, stress urinary incontinence, translabial ultrasound
Date Deposited: 25 Sep 2009 02:05
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111402 Obstetrics and Gynaecology @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920114 Reproductive System and Disorders @ 50%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920507 Womens Health @ 50%
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