We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Modified Autologous Transobturator Mid-urethral Sling Surgery for the Treatment of Female Stress Urinary Incontinence: Initial Results.
- Authors
ÇUBUK, Alkan; YANARAL, Fatih; ERBİN, Akif; SAVUN, Metin; AYRANCI, Ali Erdem; YAZICI, Özgür; SARILAR, Ömer; AKBULUT, Mehmet Fatih; BAŞAL, Şeref
- Abstract
Objective: The goal of this study is describe mid-urethral sling surgery without mesh usage to avoid mesh related complications. For this purpose our modified transobturator mid-urethral sling technique with the short-term results was evaluated. Material and Methods: The data of 20 patients performed modified transobturator mid-urethral sling with autologous tissue were recorded. The primary endpoints of this study were improvements in The International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) scores and quality of life scores, one-hour pad test measurements, and cough stress tests rates as an objective cure, and Patients Global Impressions of Improvements (PGI-I) scale as a subjective cure. Categorical variables were compared using a paired Student's t-test. Results: Twenty patients with a mean age of 50.5±3.3 years and mean body mass index of 28.9±3.9 kg/m², were enrolled in the study. The mean follow-up time was 3.9±0.8 months. Mean operation time was 42.7±7.5 minutes, and complication rates were 1/20 (5%). The mean PGI-I score was 2 postoperatively which means much better than preoperatively. The positive cough test rate and one-hour pad weight gain were statistically lower postoperatively. The decreases of subscores and quality of life scores of the incontinence section were statistically significant. The total ICIQ-FLUTS score and quality of life scores were significantly reduced in the postoperative period. Conclusion: To avoid mesh related complications of mid-urethral sling surgeries, our modified transobturator mid-urethral sling technique is a feasible option for patients and surgeons with its short-term effectiveness and safety profile.
- Subjects
URETHRAL obstruction; URINARY incontinence; DISEASE complications; QUALITY of life; BODY mass index
- Publication
Journal of Reconstructive Urology, 2018, Vol 8, Issue 3, p91
- ISSN
2587-0483
- Publication type
Article
- DOI
10.5336/urology.2018-64292