The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up.
International urogynecology journal, cilt.21, sa.2, ss.173-8, 2010 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 2
- Basım Tarihi: 2010
- Doi Numarası: 10.1007/s00192-009-1010-y
- Dergi Adı: International urogynecology journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.173-8
- Anahtar Kelimeler: Stress urinary incontinence, Transobturator tape (TOT), Urethral hypermobility, Valsalva leak point pressure (VLPP)
- Maltepe Üniversitesi Adresli: Evet
Özet
Introduction and hypothesis: The aim of this study is to investigate the effect of intrinsic sphincter deficiency (ISD) and urethral hypermobility on the outcome of the transobturator tape (TOT). Methods: Sixty-five women were divided into three groups: group I, ISD with hypermobile urethra (n=18); group II, ISD with fixed urethra (n=16); and group III, hypermobile urethra without ISD (n=31). Cure of stress urinary incontinence was defined if the patient had negative cough stress test. Cure and improvement rates were compared at 6, 12, and 24 months. Results: The cure and improvement rates of groups I and III were similar at 6, 12, and 24 months (96.1% vs 96.6%, 96.1% vs 96.6%, and 87.5 vs %96.4%, respectively). Group II had the lowest cure and improvement rates (68.7%, 66.7%, and 66.7%, respectively). Conclusion: A lack of urethral hypermobility may be a risk factor for TOT failure. © 2009 The International Urogynecological Association.