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Impact of Hysterectomy on Urethral Suspension with Transobturator Sling for Treatment of Stress Urinary Incontinence in Women

Urinary stress incontinence is a condition that increases with age, influenced by many factors, mainly anatomical pathological ones, determined by changes of muscular pelvic floor, but also by hormonal and local neurological modifications. The aim of the study was an overview of the efficacy of stre...

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Autores principales: IANOȘI, NG, CĂLBUREANU-POPESCU, MX, IANOȘI, SL, TUTUNARU, C, MOGOȘ, GFR, DRĂGUȘIN, L, GÎNGEOVEANU, G, IFRIM-PREDOI, AM, PĂUN, I
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medical University Publishing House Craiova 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6592667/
https://www.ncbi.nlm.nih.gov/pubmed/31297264
http://dx.doi.org/10.12865/CHSJ.45.01.08
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author IANOȘI, NG
CĂLBUREANU-POPESCU, MX
IANOȘI, SL
TUTUNARU, C
MOGOȘ, GFR
DRĂGUȘIN, L
GÎNGEOVEANU, G
IFRIM-PREDOI, AM
PĂUN, I
author_facet IANOȘI, NG
CĂLBUREANU-POPESCU, MX
IANOȘI, SL
TUTUNARU, C
MOGOȘ, GFR
DRĂGUȘIN, L
GÎNGEOVEANU, G
IFRIM-PREDOI, AM
PĂUN, I
author_sort IANOȘI, NG
collection PubMed
description Urinary stress incontinence is a condition that increases with age, influenced by many factors, mainly anatomical pathological ones, determined by changes of muscular pelvic floor, but also by hormonal and local neurological modifications. The aim of the study was an overview of the efficacy of stress urinary incontinencetherapy with transobturatorurethralsling suspension in patients with or without prior hysterectomy. Additionally, we evaluated the effectiveness and the rate of side effects of this method. The study group consisted of 100 patients and, within it, 32 patients (group A)underwent a hysterectomy.We noticed an improvement of symptoms, a reduced discomfort and an increase of quality of life, more prominent in group B (patients without previous hysterectomy) (p=0,0012, p=0,17 respectively, p=0,03). We consider that transobturator approach in treating stress urinary incontinence is a simple, rapid and effective procedure and, not lastly, modern technique that assures a significant improvement of symptomsand quality of life for the patients; positioning the sling along to the insufficient pubourethral ligaments reinforces the structures supporting the urethra; this approach is minimally-invasive with rapid recovery, reduced hospitalization, is cost effective and involves minimal risks of infection, bleeding, etc. moreover, the transobturator tension free sling has some advantages (no pain or tension). The rate of success of the treatment is significantly lower in patients with prior hysterectomy.
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spelling pubmed-65926672019-07-11 Impact of Hysterectomy on Urethral Suspension with Transobturator Sling for Treatment of Stress Urinary Incontinence in Women IANOȘI, NG CĂLBUREANU-POPESCU, MX IANOȘI, SL TUTUNARU, C MOGOȘ, GFR DRĂGUȘIN, L GÎNGEOVEANU, G IFRIM-PREDOI, AM PĂUN, I Curr Health Sci J Original Paper Urinary stress incontinence is a condition that increases with age, influenced by many factors, mainly anatomical pathological ones, determined by changes of muscular pelvic floor, but also by hormonal and local neurological modifications. The aim of the study was an overview of the efficacy of stress urinary incontinencetherapy with transobturatorurethralsling suspension in patients with or without prior hysterectomy. Additionally, we evaluated the effectiveness and the rate of side effects of this method. The study group consisted of 100 patients and, within it, 32 patients (group A)underwent a hysterectomy.We noticed an improvement of symptoms, a reduced discomfort and an increase of quality of life, more prominent in group B (patients without previous hysterectomy) (p=0,0012, p=0,17 respectively, p=0,03). We consider that transobturator approach in treating stress urinary incontinence is a simple, rapid and effective procedure and, not lastly, modern technique that assures a significant improvement of symptomsand quality of life for the patients; positioning the sling along to the insufficient pubourethral ligaments reinforces the structures supporting the urethra; this approach is minimally-invasive with rapid recovery, reduced hospitalization, is cost effective and involves minimal risks of infection, bleeding, etc. moreover, the transobturator tension free sling has some advantages (no pain or tension). The rate of success of the treatment is significantly lower in patients with prior hysterectomy. Medical University Publishing House Craiova 2019 2019-03-31 /pmc/articles/PMC6592667/ /pubmed/31297264 http://dx.doi.org/10.12865/CHSJ.45.01.08 Text en Copyright © 2019, Medical University Publishing House Craiova http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an open-access article distributed under the terms of a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Public License, which permits unrestricted use, adaptation, distribution and reproduction in any medium, non-commercially, provided the new creations are licensed under identical terms as the original work and the original work is properly cited.
spellingShingle Original Paper
IANOȘI, NG
CĂLBUREANU-POPESCU, MX
IANOȘI, SL
TUTUNARU, C
MOGOȘ, GFR
DRĂGUȘIN, L
GÎNGEOVEANU, G
IFRIM-PREDOI, AM
PĂUN, I
Impact of Hysterectomy on Urethral Suspension with Transobturator Sling for Treatment of Stress Urinary Incontinence in Women
title Impact of Hysterectomy on Urethral Suspension with Transobturator Sling for Treatment of Stress Urinary Incontinence in Women
title_full Impact of Hysterectomy on Urethral Suspension with Transobturator Sling for Treatment of Stress Urinary Incontinence in Women
title_fullStr Impact of Hysterectomy on Urethral Suspension with Transobturator Sling for Treatment of Stress Urinary Incontinence in Women
title_full_unstemmed Impact of Hysterectomy on Urethral Suspension with Transobturator Sling for Treatment of Stress Urinary Incontinence in Women
title_short Impact of Hysterectomy on Urethral Suspension with Transobturator Sling for Treatment of Stress Urinary Incontinence in Women
title_sort impact of hysterectomy on urethral suspension with transobturator sling for treatment of stress urinary incontinence in women
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6592667/
https://www.ncbi.nlm.nih.gov/pubmed/31297264
http://dx.doi.org/10.12865/CHSJ.45.01.08
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