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Comparison of outcomes of Burch colposuspension and transobturator tape and single incision needleless procedures (DynaMesh®-SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy.
Int Urol Nephrol. 2020 Sep; 52(9):1665-1673.IU

Abstract

PURPOSE

Women with stress urinary incontinence (SUI) often require combined pelvic reconstructive surgeries because of shared risk factors of pelvic organ prolapse. The purpose of this study was to evaluate efficacies of Burch colposuspension, transobturator tape (TOT), and single-incision needleless (DynaMesh®-SIS minor) procedures in patients with SUI who also underwent combined pelvic reconstructive surgery or hysterectomy.

METHODS

We performed this retrospective cohort study that comprising 122 patients who either underwent Burch colposuspension (n:43), TOT (n:40), or SIS (n:39) procedures along with pelvic reconstructive surgery or hysterectomy between January 2010 and July 2018. During the clinical follow-up, we analyzed cure rates, and surgical success rates of SUI surgery, quality of life, and symptom severity by IIQ-7, UDI-6, SSI, SSQ-8, OAB-V8, and PGI-I scale scores. The primary outcome was surgical success, whereas secondary outcomes included complications and patient-reported outcomes in the quality of life.

RESULTS

We found that surgical success rates were higher in Burch group than SIS group and higher in TOT group than in SIS group (88.4% vs 61.5% and 87.5% vs 61.5%, p = 0.003). The quality of life was lower in SIS group than in Burch group.

CONCLUSIONS

Both Burch and TOT are effective procedures in patients with SUI who require additional pelvic surgeries. Although surgical outcomes of SIS procedure in patients with SUI who underwent concomitant pelvic surgeries in our study were not promising, further studies with SIS are needed to clarify these observations.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Akdemir Y
Department of Obstetrics and Gynaecology, School of Medicine, Bulent Ecevit University, Zonguldak BEÜ, Esenköy, Kozlu, 67000, Zonguldak, Turkey. yesimakdemir@yahoo.com.
Dincer F
Department of Obstetrics and Gynaecology, School of Medicine, Bulent Ecevit University, Zonguldak BEÜ, Esenköy, Kozlu, 67000, Zonguldak, Turkey.
Buyukuysal C
Department of of Biostatistics, School of Medicine, Bulent Ecevit University, Zonguldak, Turkey.
Ozmen U
Department of Obstetrics and Gynaecology, School of Medicine, Bulent Ecevit University, Zonguldak BEÜ, Esenköy, Kozlu, 67000, Zonguldak, Turkey.
Harma M
Department of Obstetrics and Gynaecology, School of Medicine, Bulent Ecevit University, Zonguldak BEÜ, Esenköy, Kozlu, 67000, Zonguldak, Turkey.
Harma MI
Department of Obstetrics and Gynaecology, School of Medicine, Bulent Ecevit University, Zonguldak BEÜ, Esenköy, Kozlu, 67000, Zonguldak, Turkey.

MeSH

AdultCohort StudiesCombined Modality TherapyFemaleHumansHysterectomyMiddle AgedPelvic Organ ProlapseRetrospective StudiesSuburethral SlingsTreatment OutcomeUrinary Incontinence, StressUrologic Surgical ProceduresUterine Diseases

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

32594287

Citation

Akdemir, Yesim, et al. "Comparison of Outcomes of Burch Colposuspension and Transobturator Tape and Single Incision Needleless Procedures (DynaMesh®-SIS Minor) for the Surgical Treatment of Female Stress Urinary Incontinence Patients Who Underwent Combined Pelvic Reconstructive Surgery or Hysterectomy." International Urology and Nephrology, vol. 52, no. 9, 2020, pp. 1665-1673.
Akdemir Y, Dincer F, Buyukuysal C, et al. Comparison of outcomes of Burch colposuspension and transobturator tape and single incision needleless procedures (DynaMesh®-SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy. Int Urol Nephrol. 2020;52(9):1665-1673.
Akdemir, Y., Dincer, F., Buyukuysal, C., Ozmen, U., Harma, M., & Harma, M. I. (2020). Comparison of outcomes of Burch colposuspension and transobturator tape and single incision needleless procedures (DynaMesh®-SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy. International Urology and Nephrology, 52(9), 1665-1673. https://doi.org/10.1007/s11255-020-02549-0
Akdemir Y, et al. Comparison of Outcomes of Burch Colposuspension and Transobturator Tape and Single Incision Needleless Procedures (DynaMesh®-SIS Minor) for the Surgical Treatment of Female Stress Urinary Incontinence Patients Who Underwent Combined Pelvic Reconstructive Surgery or Hysterectomy. Int Urol Nephrol. 2020;52(9):1665-1673. PubMed PMID: 32594287.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of outcomes of Burch colposuspension and transobturator tape and single incision needleless procedures (DynaMesh®-SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy. AU - Akdemir,Yesim, AU - Dincer,Fadime, AU - Buyukuysal,Cagatay, AU - Ozmen,Ulku, AU - Harma,Muge, AU - Harma,Mehmet Ibrahim, Y1 - 2020/06/27/ PY - 2020/05/15/received PY - 2020/06/18/accepted PY - 2020/7/1/pubmed PY - 2021/5/21/medline PY - 2020/6/29/entrez KW - Burch colposuspension KW - Concomitant surgery KW - Pelvic reconstructive surgery KW - Single incision sling KW - Stress urinary incontinence KW - Transobturator tape SP - 1665 EP - 1673 JF - International urology and nephrology JO - Int Urol Nephrol VL - 52 IS - 9 N2 - PURPOSE: Women with stress urinary incontinence (SUI) often require combined pelvic reconstructive surgeries because of shared risk factors of pelvic organ prolapse. The purpose of this study was to evaluate efficacies of Burch colposuspension, transobturator tape (TOT), and single-incision needleless (DynaMesh®-SIS minor) procedures in patients with SUI who also underwent combined pelvic reconstructive surgery or hysterectomy. METHODS: We performed this retrospective cohort study that comprising 122 patients who either underwent Burch colposuspension (n:43), TOT (n:40), or SIS (n:39) procedures along with pelvic reconstructive surgery or hysterectomy between January 2010 and July 2018. During the clinical follow-up, we analyzed cure rates, and surgical success rates of SUI surgery, quality of life, and symptom severity by IIQ-7, UDI-6, SSI, SSQ-8, OAB-V8, and PGI-I scale scores. The primary outcome was surgical success, whereas secondary outcomes included complications and patient-reported outcomes in the quality of life. RESULTS: We found that surgical success rates were higher in Burch group than SIS group and higher in TOT group than in SIS group (88.4% vs 61.5% and 87.5% vs 61.5%, p = 0.003). The quality of life was lower in SIS group than in Burch group. CONCLUSIONS: Both Burch and TOT are effective procedures in patients with SUI who require additional pelvic surgeries. Although surgical outcomes of SIS procedure in patients with SUI who underwent concomitant pelvic surgeries in our study were not promising, further studies with SIS are needed to clarify these observations. SN - 1573-2584 UR - https://www.unboundmedicine.com/medline/citation/32594287/Comparison_of_outcomes_of_Burch_colposuspension_and_transobturator_tape_and_single_incision_needleless_procedures__DynaMesh������_SIS_minor__for_the_surgical_treatment_of_female_stress_urinary_incontinence_patients_who_underwent_combined_pelvic_reconstructive_surgery_or_hysterectomy_ DB - PRIME DP - Unbound Medicine ER -