AI Summary & Key Takeaways
AI InsightIn this study it has been found that addition of incontinence surgery is necessary when abdominal cystocele repair is performed on patients suffering from urinary incontinence
📌 3 Key Takeaways
Abstract
Aim: The aim of this study is to investigate the effectiveness of abdominal cystocele repair on anterior compartment defects and stres urinary incontinence in patients with POP and SUI related with anterior compartment defects.Materials and methods: This study was performed in 20 patients admitted to our clinic with an indication of hysterectomy for a benign reason accompanied by cystocele with ruptured efect from the cervical ring and SUI diagnoses. The demographic characteristics of the patients were determined before the operation. Urinary incontinence symptoms were evaluated. Pelvic organ prolapse detected on clinical examination was evaluated according to POPQ rating system. Surgical procedures to be applied to the patients were selected according to the type of the defect. Accordingly removal of lambdo triangle from vagina (wedge colpectomy operation) was applied after total abdominal hysterectomy to 20 patients.Findings: When POPQ values of the patients before and after the surgery were compared a statistically significant (p <0.05) anatomical improvement was detected in the defects of the anterior compartment. When preoperative and postoperative urinary incontinence complaints of the patients were objectively and subjectively compared preoperative stres testing was positive in all cases. Results: A statistically significant anatomical improvement was obtained after abdominal surgery for defects in the anterior compartment which is a component of POP, but there was no significant improvement on urinary incontinence symptoms. In this study it has been found that addition of incontinence surgery is necessary when abdominal cystocele repair is performed on patients suffering from urinary incontinence
Özet
Amaç: Çalışmamızın amacı ön kompartman defektine bağlı POP (pelvik organ prolapsusu ) ve SUİ'ı (stres üriner inkontinans) olan hastalarda, abdominal yolla uygulanan sistosel tamirinin ön kompartman defekti ve stres üriner inkontinans üzerine etkinliğini araştırmaktır.Materyal ve Method: Bu çalışma kliniğimize başvuran, benign nedenli histerektomi endikasyonu olan, beraberinde servikal halkadan kopma defektli sistosel tanısı alan ve SUİ'ı olan 20 hastada yapıldı. Hastaların operasyonlardan önce demografik özellikleri belirlendi. Hastaların idrar kaçırma semptomları değerlendirildi. Klinik muayenede saptanan pelvik organ prolapsusu, POPQ derecelendirme sistemine göre yapıldı. Hastalara uygulanacak cerrahi prosedür defektin tipine göre seçildi. Buna uygun olarak 20 olguya abdominal histerektomiyi takiben vajenden üçgen lambdo çıkarılması (wedge kolpektomi) operasyonu uygulanıldı.Bulgular: Hastalara uygulanan operasyondan önce ve sonra POPQ değerleri karşılaştırıldığında, hastalarda ön kompartman defektinde istatistiksel olarak anlamlı bir anatomik düzelme saptandı (p<0,05). Hastaların preoperatif ve postoperatif idrar kaçırma şikayetleri objektif ve subjektif olarak karşılaştırıldığında ise, olguların hepsinde preoperatif stres test pozitifti.Sonuç: POP'nun bir komponenti olan ön kompartman defektinde abdominal cerrahi tedavi sonrasında istatiksel olarak anlamlı anatomik düzelme elde edilmiştir, ancak idrar kaçırma semptomlarında belirgin iyileşme saptanmamıştır. Çalışmamızda idrar kaçırma şikayeti olan hastalara abdominal yolla uygulanan sistosel tamirine inkontinans cerrahisi eklenmesi gerektiği anlaşılmıştır