Tags

Type your tag names separated by a space and hit enter

Comparison of the Kelly's plication and TOT simultaneously with vaginal hysterectomy, on the incontinence, and sexual functions.
Int Braz J Urol. 2018 Jul-Aug; 44(4):779-784.IB

Abstract

PURPOSE

To compare the effect of vaginal hysterectomy-anterior/posterior colporrhaphy with Kelly's plication(VH-KP), versus vaginal hysterectomy-anterior/posterior colporrhaphy-transobturator tape(VH-TOT) surgeries on incontinence, quality of life, and sexual functions in patients with pelvic organ prolapse(POP), and concurrent obvious stress urinary incontinence(SUI).

MATERIALS AND METHODS

Between 2013 and 2017, fifty patients treated with VH-KP(n = 25), and VH-TOT(n = 25) due to POP and SUI, were evaluated prospective consecutively. Age, parity, duration of urinary incontinence,and the daily pad use were recorded. Patients were filled "rinary Distress Inventory-6(UDI-6)", "Incontinence Impact Questionnaire 7(IIQ-7)" and "Index of Female Sexual Function(IFSI)" questionnaire forms at preoperatively,and postoperative 6th month. No usage of pads was accepted as subjective cure rate.Intraoperative,and postoperative complications were noted.

RESULTS

There was no statistically significant difference between two groups, for the mean age of the patients, parity, duration of SUI, and the daily pad use, preoperatively (p > 0.05). Decreased UDI-6 scores, IIQ-7 scores and daily pad usage, and increased IFSF scores were found statistical significantly in each group, at the postoperative 6 th month (p < 0.05). However, VH-TOT group had higher improvement rates, on UDI-6 scores (69.5% vs 63.0%, p = 0.04). In addition, it was notable that the the rates of the patients had IFSF scores ≥ 25 was higher in VH-KP group (p = 0.05). Four (16%) patients had recurrent SUI in the VH-KP group (p = 0.039) and vaginal extrusion occurred in 2 (8%) patients in the VH-TOT group (p = 0.153), postoperatively.

CONCLUSIONS

Although the effects of VH-TOT surgery are superior to conventional methods for incontinence and quality of life; negative effects on sexual functions are notable. In addition, although recurrence rates of TOT are low, complications such as vaginal extrusion are accompanied by drawbacks of mesh usage.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, University of Gaziantep, Gaziantep, Turkey.Department of Urology, University of Gaziantep, Gaziantep, Turkey.Department of Obstetrics and Gynecology, University of Gaziantep, Gaziantep, Turkey.Department of Obstetrics and Gynecology, University of Gaziantep, Gaziantep, Turkey.Department of Urology, University of Gaziantep, Gaziantep, Turkey.

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article

Language

eng

PubMed ID

29757572

Citation

Tepe, Neslihan Bayramoglu, et al. "Comparison of the Kelly's Plication and TOT Simultaneously With Vaginal Hysterectomy, On the Incontinence, and Sexual Functions." International Braz J Urol : Official Journal of the Brazilian Society of Urology, vol. 44, no. 4, 2018, pp. 779-784.
Tepe NB, Bayrak O, Ozcan HC, et al. Comparison of the Kelly's plication and TOT simultaneously with vaginal hysterectomy, on the incontinence, and sexual functions. Int Braz J Urol. 2018;44(4):779-784.
Tepe, N. B., Bayrak, O., Ozcan, H. C., Ugur, M. G., & Seckiner, I. (2018). Comparison of the Kelly's plication and TOT simultaneously with vaginal hysterectomy, on the incontinence, and sexual functions. International Braz J Urol : Official Journal of the Brazilian Society of Urology, 44(4), 779-784. https://doi.org/10.1590/S1677-5538.IBJU.2018.0019
Tepe NB, et al. Comparison of the Kelly's Plication and TOT Simultaneously With Vaginal Hysterectomy, On the Incontinence, and Sexual Functions. Int Braz J Urol. 2018 Jul-Aug;44(4):779-784. PubMed PMID: 29757572.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of the Kelly's plication and TOT simultaneously with vaginal hysterectomy, on the incontinence, and sexual functions. AU - Tepe,Neslihan Bayramoglu, AU - Bayrak,Omer, AU - Ozcan,Huseyin Caglayan, AU - Ugur,Mete Gurol, AU - Seckiner,Ilker, PY - 2018/01/11/received PY - 2018/04/04/accepted PY - 2018/5/15/pubmed PY - 2018/8/1/medline PY - 2018/5/15/entrez KW - Pelvic Organ Prolapse KW - Quality of Life KW - Urinary Incontinence SP - 779 EP - 784 JF - International braz j urol : official journal of the Brazilian Society of Urology JO - Int Braz J Urol VL - 44 IS - 4 N2 - PURPOSE: To compare the effect of vaginal hysterectomy-anterior/posterior colporrhaphy with Kelly's plication(VH-KP), versus vaginal hysterectomy-anterior/posterior colporrhaphy-transobturator tape(VH-TOT) surgeries on incontinence, quality of life, and sexual functions in patients with pelvic organ prolapse(POP), and concurrent obvious stress urinary incontinence(SUI). MATERIALS AND METHODS: Between 2013 and 2017, fifty patients treated with VH-KP(n = 25), and VH-TOT(n = 25) due to POP and SUI, were evaluated prospective consecutively. Age, parity, duration of urinary incontinence,and the daily pad use were recorded. Patients were filled "rinary Distress Inventory-6(UDI-6)", "Incontinence Impact Questionnaire 7(IIQ-7)" and "Index of Female Sexual Function(IFSI)" questionnaire forms at preoperatively,and postoperative 6th month. No usage of pads was accepted as subjective cure rate.Intraoperative,and postoperative complications were noted. RESULTS: There was no statistically significant difference between two groups, for the mean age of the patients, parity, duration of SUI, and the daily pad use, preoperatively (p > 0.05). Decreased UDI-6 scores, IIQ-7 scores and daily pad usage, and increased IFSF scores were found statistical significantly in each group, at the postoperative 6 th month (p < 0.05). However, VH-TOT group had higher improvement rates, on UDI-6 scores (69.5% vs 63.0%, p = 0.04). In addition, it was notable that the the rates of the patients had IFSF scores ≥ 25 was higher in VH-KP group (p = 0.05). Four (16%) patients had recurrent SUI in the VH-KP group (p = 0.039) and vaginal extrusion occurred in 2 (8%) patients in the VH-TOT group (p = 0.153), postoperatively. CONCLUSIONS: Although the effects of VH-TOT surgery are superior to conventional methods for incontinence and quality of life; negative effects on sexual functions are notable. In addition, although recurrence rates of TOT are low, complications such as vaginal extrusion are accompanied by drawbacks of mesh usage. SN - 1677-6119 UR - https://www.unboundmedicine.com/medline/citation/29757572/Comparison_of_the_Kelly's_plication_and_TOT_simultaneously_with_vaginal_hysterectomy_on_the_incontinence_and_sexual_functions_ L2 - http://www.intbrazjurol.com.br/pdf/vol44n04/Tepe_779_784.pdf DB - PRIME DP - Unbound Medicine ER -