OBJECTIVE: To assess subjective outcomes among patients who underwent minimally invasive suburethral sling (MIS) surgery for stress urinary incontinence with or without concurrent pelvic organ prolapse (POP) surgery.
METHODS: In a prospective study between 2002 and 2010, patients who underwent MIS surgery with or without concomitant POP surgery at Croydon University Hospital, UK, completed the ICIQ-FLUTS and ICIQ-LUTSqol questionnaires on lower urinary tract symptoms and quality of life before and 12months after surgery.
RESULTS: Overall, 203 patients underwent MIS surgery alone and 91 underwent concomitant POP and MIS surgery. At 12months, the response rate was 64.3%. Before surgery, there was no significant difference between the groups in any domain of ICIQ-FLUTS and ICIQ-LUTSqol, except for in the incontinence domain of ICIQ-FLUTS, for which scores were significantly worse in the MIS group (P=0.018). All domains of ICIQ-FLUTS and ICIQ-LUTSqol had improved after 1year in both groups, except for the voiding domain of the ICIQ-FLUTS in the MIS group (P=0.054). After surgery, there was no difference between the groups in any domain (P>0.05). Complication rates were low in both groups.
CONCLUSION: MIS with concomitant POP surgery is as safe and effective as MIS surgery alone.
Written by:
Naidu M, Thakar R, Sultan AH. Are you the author?
Department of Obstetrics and Gynecology, Croydon University Hospital, Croydon, UK.
Reference: Int J Gynaecol Obstet. 2014 Jun 19. pii: S0020-7292(14)00305-1.
doi: 10.1016/j.ijgo.2014.04.017
PubMed Abstract
PMID: 24994496
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