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A comparative study of autologous rectus fascia pubovaginal sling surgery and synthetic transobturator vaginal tape procedure in treatment of women with urodynamic stress urinary incontinence.
Eur J Obstet Gynecol Reprod Biol. 2020 Sep; 252:349-354.EJ

Abstract

OBJECTIVE

To compare short term results of autologous rectus fascia pubovaginal sling surgery with synthetic transobturator vaginal tape procedure in treatment of female stress urinary incontinence (SUI) STUDY DESIGN: It was a comparative study on 30 women between 25-65 years of age with urodynamic proven SUI who were randomly allocated to autologous rectus fascia pubovaginal sling surgery (Group I)(15 women) and synthetic transobturator vaginal tape procedure (Group II) (15 women). Preoperative and postoperative ICIQ (International Consultation on Incontinence Questionnaire) score, urodynamic study and serum CRP and IL-6 were done in all cases.

RESULTS

The baseline characteristics in terms of age, body mass index (BMI), parity, mean ICIQ score and mean preoperative CRP and IL-6 levels were similar in two groups. Mean operative time was significantly longer (55.60 ± 5.77 vs 25.27 ± 4.32 minutes, p = 0.001) in group I than group II. Mean hospital stay of 7.1 ± 1.2 vs 1.2 ± 0.4 days, mean duration of catheterization 5.8 vs 1.2 day (<0.01) and postoperative urinary retention requiring recathterization were all significantly higher in group I than II. Wound infection was more in group I than in group II (p = 0.01) while groin pain was significantly more in group II (p = 0.01). One patient developed vesicovaginal fistula, while one patient required cutting of tape in group I. Pdet at Q max (Detrusor pressure at peak urine flow) increased significantly in both the groups after surgery. ICIQ score was zero in both the groups indicating 100 % success. Surgical trauma was more in group I as shown by significantly higher CRP levels.

CONCLUSION

The success rate of the two groups was similar but, autologous rectus fascia sling surgery took longer, had more complications and urinary retention as compared to transobturator vaginal tape procedure.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India. Electronic address: jbsharma@aiims.ac.in.

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.

Department of Urology, All India Institute of Medical Sciences, New Delhi, India.

Department of Biochemistry, All India Institute of Medical Sciences, New Delhi, India.

MeSH

FasciaFemaleHumansSuburethral SlingsTreatment OutcomeUrinary Incontinence, StressUrodynamicsUrologic Surgical Procedures

Pub Type(s)

Journal Article

Randomized Controlled Trial

Language

eng

PubMed ID

32659641

Citation

Sharma, J B., et al. "A Comparative Study of Autologous Rectus Fascia Pubovaginal Sling Surgery and Synthetic Transobturator Vaginal Tape Procedure in Treatment of Women With Urodynamic Stress Urinary Incontinence." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 252, 2020, pp. 349-354.

Sharma JB, Deoghare MK, Bhatla N, et al. A comparative study of autologous rectus fascia pubovaginal sling surgery and synthetic transobturator vaginal tape procedure in treatment of women with urodynamic stress urinary incontinence. Eur J Obstet Gynecol Reprod Biol. 2020;252:349-354.

Sharma, J. B., Deoghare, M. K., Bhatla, N., Kachhawa, G., Mahey, R., Kumari, R., Seth, A., & Sharma, A. (2020). A comparative study of autologous rectus fascia pubovaginal sling surgery and synthetic transobturator vaginal tape procedure in treatment of women with urodynamic stress urinary incontinence. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 252, 349-354. https://doi.org/10.1016/j.ejogrb.2020.06.062

Sharma JB, et al. A Comparative Study of Autologous Rectus Fascia Pubovaginal Sling Surgery and Synthetic Transobturator Vaginal Tape Procedure in Treatment of Women With Urodynamic Stress Urinary Incontinence. Eur J Obstet Gynecol Reprod Biol. 2020;252:349-354. PubMed PMID: 32659641.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - A comparative study of autologous rectus fascia pubovaginal sling surgery and synthetic transobturator vaginal tape procedure in treatment of women with urodynamic stress urinary incontinence. AU - Sharma,J B, AU - Deoghare,Manasi Kamalakar, AU - Bhatla,Neerja, AU - Kachhawa,Garima, AU - Mahey,Reeta, AU - Kumari,Rajesh, AU - Seth,Amlesh, AU - Sharma,Alpana, Y1 - 2020/07/03/ PY - 2020/04/20/received PY - 2020/06/24/revised PY - 2020/06/26/accepted PY - 2020/7/14/pubmed PY - 2021/5/15/medline PY - 2020/7/14/entrez KW - Autologous rectus fascia pubovaginal sling surgery KW - ICIQ KW - Stress urinary incontinence KW - Transobturator tension free vaginal tape procedure KW - Urodynamics SP - 349 EP - 354 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur J Obstet Gynecol Reprod Biol VL - 252 N2 - OBJECTIVE: To compare short term results of autologous rectus fascia pubovaginal sling surgery with synthetic transobturator vaginal tape procedure in treatment of female stress urinary incontinence (SUI) STUDY DESIGN: It was a comparative study on 30 women between 25-65 years of age with urodynamic proven SUI who were randomly allocated to autologous rectus fascia pubovaginal sling surgery (Group I)(15 women) and synthetic transobturator vaginal tape procedure (Group II) (15 women). Preoperative and postoperative ICIQ (International Consultation on Incontinence Questionnaire) score, urodynamic study and serum CRP and IL-6 were done in all cases. RESULTS: The baseline characteristics in terms of age, body mass index (BMI), parity, mean ICIQ score and mean preoperative CRP and IL-6 levels were similar in two groups. Mean operative time was significantly longer (55.60 ± 5.77 vs 25.27 ± 4.32 minutes, p = 0.001) in group I than group II. Mean hospital stay of 7.1 ± 1.2 vs 1.2 ± 0.4 days, mean duration of catheterization 5.8 vs 1.2 day (<0.01) and postoperative urinary retention requiring recathterization were all significantly higher in group I than II. Wound infection was more in group I than in group II (p = 0.01) while groin pain was significantly more in group II (p = 0.01). One patient developed vesicovaginal fistula, while one patient required cutting of tape in group I. Pdet at Q max (Detrusor pressure at peak urine flow) increased significantly in both the groups after surgery. ICIQ score was zero in both the groups indicating 100 % success. Surgical trauma was more in group I as shown by significantly higher CRP levels. CONCLUSION: The success rate of the two groups was similar but, autologous rectus fascia sling surgery took longer, had more complications and urinary retention as compared to transobturator vaginal tape procedure. SN - 1872-7654 UR - https://www.unboundmedicine.com/medline/citation/32659641/A_comparative_study_of_autologous_rectus_fascia_pubovaginal_sling_surgery_and_synthetic_transobturator_vaginal_tape_procedure_in_treatment_of_women_with_urodynamic_stress_urinary_incontinence_ DB - PRIME DP - Unbound Medicine ER -