AI Summary & Key Takeaways
AI InsightConclusion: The usage of only one polypropylene mesh for the support of bladder and midurethra in cases with cystocele and stres urinary incontinence may be accepted as a successful and effective method with low morbidity and well tolerability.
📌 3 Key Takeaways
Abstract
Objective: The aim of this study was to assess the use of polypropylene mesh for treatment of cystocele and stress urinary incontinence. Material and Methods: The study group included 26 cases who have cystocele and stress urinary incontinence. Patients with stage 2 or more cystocele, classified according to Internatinal Continence Society (ICS) classification, were included into this study. Routine tests and urodynamic studies performed for all cases. Miduretra and bladder support was provided by 4-arm polypropylene mesh in all cases. The follow-up period was 1 year for post-operative complications and ICIQ-SF scores were recorded at one month. Results: The mean age of the 26 cases were 52.3±11 and postoperative mean follow up was 13.1±8.7 months. There were no cystocele recurrence and stress urinary incontinence symptoms at the postoperative period. The success rate was considered 100% for this surgery. Vaginal erosion was detected in three cases (11.5%).Two cases (7.7%) complained of dispareunia. Thigh pain occurred in two cases, one patient had infection at trocar insertion point in the genitofemoral fold and sinus formation occurred in one patient. ICIQ-SF scores significantly decreased from 14.9 ± 2.4 to 5.2 ± 4.7 at postoperative first month (p < 0,01) . Conclusion: The usage of only one polypropylene mesh for the support of bladder and midurethra in cases with cystocele and stres urinary incontinence may be accepted as a successful and effective method with low morbidity and well tolerability.
Özet
Amaç: Sistosel ve stres inkontinans saptanan olgularda kullanılan polipropilen mesh sonuçlarının değerlendirilmesi. Gereç ve Yöntem: Çalışma grubunu sistosel ile birlikte stres inkontinans saptanan 26 olgu oluşturdu. Internatinal Continence Society (ICS) sınıflamasına göre sistoselleri evre 2 veya daha fazla idi. Tüm olgulara rutin testler ile birlikte ürodinamik incelemeler yapıldı. Tüm olgularda 4 kollu polipropilen mesh ile midüretra ve mesane desteği sağlandı. Postoperatif 1. ayda ICIQ-SF doldurtuldu. Hastalar postoperatif komplikasyonlar açısından 1 yıl takip edildi. Bulgular: Yirmi altı olgunun yaş ortalaması 52.3±11, postoperatif ortalama takip süresi 13.1±8.7 ay idi. Postoperatif sistosel rekurrensi veya stres inkontinans semptomları izlenmedi. Postoperatif başarı oranı %100 olarak kabul edildi. Üç olguda (%11.5) vaginal erozyon, iki olguda (%7.7) disparauni, iki olguda uyluk ağrısı ve bir olguda genitofemoral alandaki giriş yerinde enfeksiyon ve sinus formasyonu izlendi. ICIQ-SF skorları 14.9±2.4'den postoperatif 1. ayda 5.2±4.7'ye düştü (p< 0.01). Sonuç: Sistosel ve stres inkontinanslı olgularda tek bir polipropilen mesh ile mesane ve midüretra takviyesi başarılı, etkili, düşük morbiditeli ve iyi tolere edilen bir yöntem olarak kabul edilebilir.