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Surgical treatment of mixed urinary incontinence: effect of anterior colpoplasty.
MedLine Citation:
PMID:  21234546     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION AND HYPOTHESIS: The aims of this study are to study the surgical outcomes in patients with stress-predominant mixed urinary incontinence (MUI) treated with tension-free vaginal tape, and to evaluate the effect of concomitant anterior colpoplasty. METHODS: A total of 134 women with MUI clinical and urodynamic were assessed at 6 months and annually (maximum 9 years) after surgery. RESULTS: As a whole, a complete healing of 49-51% at 3 years is observed, which hence could result in a tax drop of 36.8% at 5-9 years. Nevertheless, the rate of healing or improvement (subjective) is 73.7% at long term (5-9 years). There were no significant differences between the two techniques used: TVT vs TVT-Obturator. On the other hand, we have found significant differences between association of anterior colpoplasty and not (complete healing rate 34.6% vs 64.6%, p = 0.014), at 2 years of monitoring. CONCLUSIONS: MUI with cystocele presents better surgical results for two components of incontinence, with its physiopathogenic implications.
Authors:
Judith Lleberia; Josep Pubill; Montse Mestre; Emma Garcia; Maria Grimau; Eduardo Bataller
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-14
Journal Detail:
Title:  International urogynecology journal and pelvic floor dysfunction     Volume:  -     ISSN:  1433-3023     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9514583     Medline TA:  Int Urogynecol J Pelvic Floor Dysfunct     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Service of Obstetrics and Gynecology Hospital Parc Taulí, Autonomous University of Barcelona, Parc Taulí s/n Sabadell, Barcelona, Spain, lleberia@hotmail.com.
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