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Journals / Turkish Journal of Medical Sciences / 2020 / Cilt: 50 - Sayı: 4

The effect of sacrospinous ligament fixation during vaginal hysterectomy on postoperative de novo stress incontinence occurrence: a prospective study with 2-year follow-up

Eralp BAŞER
Kerem Doğa SEÇKİN
Pınar KADİROĞULLARI
Hüseyin KIYAK
Pages
978–984
Publication Date
2020-08-01
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In Groups 1 and 2, POP recurrence occurred in 5 6.4% vs. 1 1.3% cases,respectively P

📌 3 Key Takeaways

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Objective & Hypothesis:Background/aim: To investigate the risk of de novo stress urinary incontinence SUI occurrence in women who were treated for pelvic organ prolapse POP with sacrospinous ligament fixation SSLF in addition to vaginal hysterectomy VAH and antero-posterior colporrhaphy CAP over a 24-month follow-up period.
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Key Findings & Data:Women without occult or obvious SUI were randomized into either one of the study groups: Group 1: VAH + CAP, and Group 2: VAH + CAP + SSLF.
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Conclusion & Impact:In Groups 1 and 2, POP recurrence occurred in 5 6.4% vs. 1 1.3% cases,respectively P
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Pelvic organ prolapse · stress urinary incontinence · vaginal cuff prolapse

Abstract

Background/aim: To investigate the risk of de novo stress urinary incontinence SUI occurrence in women who were treated for pelvic organ prolapse POP with sacrospinous ligament fixation SSLF in addition to vaginal hysterectomy VAH and antero-posterior colporrhaphy CAP over a 24-month follow-up period. Materials and methods: A prospective randomized study was designed. Women without occult or obvious SUI were randomized into either one of the study groups: Group 1: VAH + CAP, and Group 2: VAH + CAP + SSLF. Postoperatively, the patients were reevaluated for de novo SUI occurrence. Results: A total of 150 women were analyzed [G1 = VAH + CAP n: 77 and G2 = VAH + CAP + SSLF n: 73 ]. Mean age, parity, body mass index, menopausal status, and preoperative POP degree, grade 1 and grade 2-3 cystocele and rectocele frequencies were similar between the 2 groups. During follow-up period, de novo SUI developed in 7 patients 9.1% of Group 1, and in 6 patients 8.2% of Group 2 P > 0.05 . In Groups 1 and 2, POP recurrence occurred in 5 6.4% vs. 1 1.3% cases,respectively P

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Cite This Article

BAŞER, E., SEÇKİN, K. D., KADİROĞULLARI, P., KIYAK, H. (2020). The effect of sacrospinous ligament fixation during vaginal hysterectomy on postoperative de novo stress incontinence occurrence: a prospective study with 2-year follow-up. Turkish Journal of Medical Sciences, Cilt: 50 - Sayı: 4, 978–984. https://ajindex.com/articles/113182

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