Tags

Type your tag names separated by a space and hit enter

Evolution of patients with and without preoperative stress urinary incontinence after surgical cystocele repair by mesh implantation using a vaginal approach.
Prog Urol. 2020 Jun 11 [Online ahead of print]PU

Abstract

INTRODUCTION

To review the short-term evolution of stress urinary incontinence (SUI) after Uphold™ LITE mesh implantation for genital prolapse repair.

MATERIAL AND METHODS

Retrospective, descriptive, single centre study of women undergoing genital prolapse surgery with Uphold™ LITE mesh insertion between July 2016 and April 2019. Pre-, peri- and 1-year postoperative follow-up data were collected.

RESULTS

Thirty-six women were included (mean age: 72±7years). Most patients (75%) had grade III cystocele and three (8.3%) had recurrent prolapse. Mean operative time was 41±12min. During surgery, no visceral injury or haemorrhagic complications were noted but there were three intraoperative bladder injuries (8.3%). Twelve patients (33.3%) had preoperative SUI, half of which (n=6; 50%) responded to prolapse repair. De novo SUI was noted in 6/24 (25%) patients. The risk of having persistent postoperative SUI was 50% in patients with preoperative SUI, and the risk of developing de novo postoperative SUI was 25% in patients without preoperative SUI. Thus, patients with preoperative SUI were twice as likely to have persistent postoperative SUI as those without preoperative SUI (RR=2.0 [95% CI: 0.8175-4.8928]; P=0.128). Five patients with de novo SUI and three patients with persistent postoperative SUI were subsequently treated with insertion of a mid-urethral sling (MUS). The other patients improved with physiotherapy.

CONCLUSION

Risk of persistent SUI after implantation of an Uphold™ LITE mesh is higher in patients with preoperative SUI. Surgical correction with a MUS can be offered in cases of de novo SUI before or after physiotherapy.

LEVEL OF EVIDENCE

4.

Authors+Show Affiliations

Urology Department, Grenoble University Hospital, BP 217, 38043 Grenoble cedex 9, France; Department of Surgery, Faculty of Medicine, Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia. Electronic address: Akhogeer@chu-grenoble.fr.Urology Department, Grenoble University Hospital, BP 217, 38043 Grenoble cedex 9, France.Urology Department, Grenoble University Hospital, BP 217, 38043 Grenoble cedex 9, France.Urology Department, Grenoble University Hospital, BP 217, 38043 Grenoble cedex 9, France.Urology Department, Grenoble University Hospital, BP 217, 38043 Grenoble cedex 9, France.Urology Department, Grenoble University Hospital, BP 217, 38043 Grenoble cedex 9, France.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32536586

Citation

Khogeer, A, et al. "Evolution of Patients With and Without Preoperative Stress Urinary Incontinence After Surgical Cystocele Repair By Mesh Implantation Using a Vaginal Approach." Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, 2020.
Khogeer A, Thuillier C, Descotes JL, et al. Evolution of patients with and without preoperative stress urinary incontinence after surgical cystocele repair by mesh implantation using a vaginal approach. Prog Urol. 2020.
Khogeer, A., Thuillier, C., Descotes, J. L., Rambeaud, J. J., Long, J. A., & Fiard, G. (2020). Evolution of patients with and without preoperative stress urinary incontinence after surgical cystocele repair by mesh implantation using a vaginal approach. Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie. https://doi.org/10.1016/j.purol.2020.04.026
Khogeer A, et al. Evolution of Patients With and Without Preoperative Stress Urinary Incontinence After Surgical Cystocele Repair By Mesh Implantation Using a Vaginal Approach. Prog Urol. 2020 Jun 11; PubMed PMID: 32536586.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evolution of patients with and without preoperative stress urinary incontinence after surgical cystocele repair by mesh implantation using a vaginal approach. AU - Khogeer,A, AU - Thuillier,C, AU - Descotes,J-L, AU - Rambeaud,J-J, AU - Long,J-A, AU - Fiard,G, Y1 - 2020/06/11/ PY - 2020/04/14/received PY - 2020/04/29/revised PY - 2020/04/30/accepted PY - 2020/6/16/entrez KW - Bandelette sous urétrale KW - Chirurgie KW - Cystocele KW - Cystocèle KW - Incontinence urinaire à l’effort KW - Mesh KW - Mid-urethral slings KW - Prolapsus génital KW - Prothèse KW - Surgical KW - Urinary stress incontinence KW - Urogenital prolapse JF - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JO - Prog. Urol. N2 - INTRODUCTION: To review the short-term evolution of stress urinary incontinence (SUI) after Uphold™ LITE mesh implantation for genital prolapse repair. MATERIAL AND METHODS: Retrospective, descriptive, single centre study of women undergoing genital prolapse surgery with Uphold™ LITE mesh insertion between July 2016 and April 2019. Pre-, peri- and 1-year postoperative follow-up data were collected. RESULTS: Thirty-six women were included (mean age: 72±7years). Most patients (75%) had grade III cystocele and three (8.3%) had recurrent prolapse. Mean operative time was 41±12min. During surgery, no visceral injury or haemorrhagic complications were noted but there were three intraoperative bladder injuries (8.3%). Twelve patients (33.3%) had preoperative SUI, half of which (n=6; 50%) responded to prolapse repair. De novo SUI was noted in 6/24 (25%) patients. The risk of having persistent postoperative SUI was 50% in patients with preoperative SUI, and the risk of developing de novo postoperative SUI was 25% in patients without preoperative SUI. Thus, patients with preoperative SUI were twice as likely to have persistent postoperative SUI as those without preoperative SUI (RR=2.0 [95% CI: 0.8175-4.8928]; P=0.128). Five patients with de novo SUI and three patients with persistent postoperative SUI were subsequently treated with insertion of a mid-urethral sling (MUS). The other patients improved with physiotherapy. CONCLUSION: Risk of persistent SUI after implantation of an Uphold™ LITE mesh is higher in patients with preoperative SUI. Surgical correction with a MUS can be offered in cases of de novo SUI before or after physiotherapy. LEVEL OF EVIDENCE: 4. SN - 1166-7087 UR - https://www.unboundmedicine.com/medline/citation/32536586/Evolution_of_patients_with_and_without_preoperative_stress_urinary_incontinence_after_surgical_cystocele_repair_by_mesh_implantation_using_a_vaginal_approach L2 - https://linkinghub.elsevier.com/retrieve/pii/S1166-7087(20)30203-7 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.