Anatomical and symptomatic mid-term outcomes of patients with isolated anterior compartment defect repair or stress urinary incontinence

BMC Women's Health

Research

İsmail Gökbel¹  Ahmet Akın Sivaslioğlu¹  Mehmet Ferdi Kinci²  Deniz Akin Gökbel² 

[1] Obstetrics and Gynecology Department, Menteşe State Hospital, Muğla, Turkey;Obstetrics and Gynecology Department, Muğla Sıtkı Koçman University Education and Research Hospital, Muğla, Turkey;

关键词: Pelvic organ prolapse (POP);    Lower urinary tract symptoms (LUTS);    Stress urinary incontinence (SUI);    Anterior compartment defect (ACD);   

DOI  :  10.1186/s12905-023-02556-0

 received in 2022-10-18, accepted in 2023-07-19,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundAn evaluation of preoperative and postoperative 12th month Pelvic Organ Prolapse Quantification (POP-Q) and Lower Urinary Tract Symptoms (LUTS) changes in patients operated for the diagnosis of isolated anterior compartment defect (ACD) or Stress Urinary Incontinence (SUI).MethodPatients who were diagnosed with isolated ACD or SUI were retrospectively analyzed at urogynecology unit of our tertiary referral center. All pelvic examinations were performed by the same experienced urogynecologist. Pre-operative and post-operative 12th month POP-Q scores and the responses to a detailed LUTS questionnaire in the unit were assessed.ResultsOf the 90 patients with isolated ACD or SUI, midurethral sling with mini-sling and retropubic transobturator tape methods was applied in 24, iliococcygeal fixation in 28, trapezoid repair in 9 patients, anterior bridge operation in 14, and plication of pubocervicovaginal fascia to the cervical ring in 15. We compared the POP-Q score and pre and post-operative 12th month LUTS. Between pre and post-operative 12th month, there was a statistically significant difference at Aa and Ba points (p < 0.00, 0.001). Comparative LUTS questionnaire showed statistically significant differences in stress urinary incontinence, frequency, urgency, abnormal emptying, nocturia, pelvic pain (p: <0.001, p < 0.001, p: <0.001, p:0.001, p:<0.001, p:0.003, respectively).ConclusionAnatomical and symptomatic recovery is achieved with appropriate surgical intervention in women with isolated ACD or SUI. When LUTS were evaluated in terms of symptomatic recovery, they were found to be related not only to symptoms involving the anterior compartment, but also to symptoms involving other compartments.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 1