Outcomes of the association of asymptomatic cystocele repair in patients undergoing mid-urethral sling surgery for the correction of stress incontinence

African Journal of Urology

Sarah Hassan¹  Dalia Abdel Azim¹  Ahmed Yehia Abdel Aziz²  Hussein Aly Hussein²  Samer Morsy²  Mohamed Salah Abdel Azim² 

[1] Obstetrics and Gynecology Department, Cairo University;Urology Department, Faculty of Medicine, Cairo University;

关键词: Cystocele;    Mid-urethral sling;    Stress urinary incontinence;    Trans-obturator tape;   

DOI  :  10.1186/s12301-020-00034-9

来源: DOAJ

【 摘 要 】

Abstract Background Comparison between the clinical outcomes of mid-urethral sling procedure for stress incontinence with and without repair of asymptomatic stage II cystocele is made. Methods This is a prospective randomized study of 72 female patients with stress urinary incontinence and asymptomatic stage II cystocele. The patients were divided into two groups: group 1 treated with trans-obturator tape only and group 2 with repair of cystocele by anterior colporrhaphy in the same session. We compared between both groups in cure rate and voiding function after 1 year. Results The cure rate of group 1 was 66.7%, while for group 2 it was 90% after 12 months (p < 0.05). Six patients (17%) with asymptomatic stage II cystocele in group 1 became symptomatic or developed higher stage after 12 months that required surgical repair. The incidence of postoperative irritative urinary symptoms was also significantly higher in group 1. There were no significant differences in the change in maximum flow rate or postvoiding residual urine between the two groups postoperatively. Conclusion Concomitant repair of stage II asymptomatic cystocele with mid-urethral sling improves the cure rate of stress urinary insentience and reduces the incidence of irritative urinary symptoms.

【 授权许可】

Unknown