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01-04-2009 | Original Article

Stress urinary incontinence after transobturator mesh for cystocele repair

Authors: K. L. Shek, A. Rane, J. Goh, H. P. Dietz

Published in: International Urogynecology Journal | Issue 4/2009

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.

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Title: Stress urinary incontinence after transobturator mesh for cystocele repair
Authors: K. L. Shek
A. Rane
J. Goh
H. P. Dietz
Publication date: 01-04-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 4/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-008-0789-2

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Stress urinary incontinence after transobturator mesh for cystocele repair

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