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BMC Women's Health

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Open Access 01-12-2018 | Research article

Predictors of persistent stress urinary incontinence after transvaginal mesh repair

Authors: Shohei Kawaguchi, Kazutaka Narimoto, Satoko Urata, Masami Takeyama, Yoshifumi Kadono, Atsushi Mizokami

Published in: BMC Women's Health | Issue 1/2018

Abstract

Background

We evaluated the effect of transvaginal mesh (TVM) surgery for voiding function and continence using noninvasive examination and questionnaire. The present study aimed to ascertain which categories of patients need concomitant mid-urethral sling (MUS) after TVM surgery.

Methods

We included women who underwent TVM procedure between November 2009 and October 2013. Data from noninstrumented uroflowmetry and questionnaires about urinary symptoms were analyzed.

Results

The present study investigated the cases of 961 women who underwent TVM surgery. The persistence of stress urinary incontinence (SUI) was 57.6%. Almost all the parameters measured using uroflowmetry and questionnaires significantly improved in all types of urinary incontinence 12 months after surgery. A history of hysterectomy, preoperative high flow (corrected maximum flow rate > 1.5), and preoperative urge urinary incontinence were independent risk factors for the persistence of SUI.

Conclusions

TVM for pelvic organ prolapse improved subjective and objective voiding function. Mixed urinary incontinence (MUI) patients with high urinary flow may be suitable for concomitant MUS with TVM because of the high level of SUI persistence.

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Title: Predictors of persistent stress urinary incontinence after transvaginal mesh repair
Authors: Shohei Kawaguchi
Kazutaka Narimoto
Satoko Urata
Masami Takeyama
Yoshifumi Kadono
Atsushi Mizokami
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Women's Health / Issue 1/2018
Electronic ISSN: 1472-6874
DOI: https://doi.org/10.1186/s12905-018-0667-0

ACC 2024 Congress

Springer Medicine

Predictors of persistent stress urinary incontinence after transvaginal mesh repair

Abstract

Background

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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