Published in:
01-08-2011 | Original Article
Surgical treatment of mixed urinary incontinence: effect of anterior colpoplasty
Authors:
Judith Lleberia, Josep Pubill, Montse Mestre, Emma Garcia, Maria Grimau, Eduardo Bataller
Published in:
International Urogynecology Journal
|
Issue 8/2011
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Abstract
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.