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Federación Mexicana de Ginecología y Obstetricia, A.C.

2018, Number 05

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Ginecol Obstet Mex 2018; 86 (05)

Outcomes and surgical complications in the application of transobturator tape

Rodríguez-Colorado ES, Ramírez-Isarraraz C, Gorbea-Chávez V, Castillo-Luna R, Granados-Martínez V

Language: Spanish
References: 25
Page: 297-303
PDF size: 289.48 Kb.


ABSTRACT

Objective: To evaluate the subjective success and analyze the complications of transobturator tape application in the treatment of stress urinary incontinence.
Material and Methods:: Retrospective single cohort study. Patients who were placed to transobturator tape application from 2008-2016 were included. Subjective success of Stress Urinary Incontinence was defined when the patient denied urine loss by questioning, intra and postoperative complications were recorded. With the SPSS 24.0 program was done descriptive statistics, χ2 for qualitative variables and t student for quantitative. Odds Ratio and Confidence Intervals of 95% (95% CI) to determine the risk factors.
Results: 292 patients, average age of 51 ± 10 years, 48.6% (n = 141) with a diagnosis of SUI, 47.2% (n = 139) mixed urinary incontinence, 3.4% (n = 10) with high risk of de novo urinary incontinence after pelvic prolapse surgery, 0.68% (n = 2) with occult urinary incontinence. To 214 (73.2%) concomitant surgery for pelvic organ prolapse was performed. The subjective cure rate of stress urinary incontinence was 95%, the trans-surgical complications: bladder injury (n = 3) and urethral injury (n = 1) and immediate complications: urinary retention in 11.3% (n = 33). Patients with surgical failure was increased age and parity than patients with subjective success (4 ± 2.4 vs 2.72 ± 1.9, p = 0.045 and 56.44 ± 11.6 vs 51.29 ± 9.8, p = 0.007, respectively).
Conclusions: Transobturator tape application placement has high subjective cure rates for the treatment of stress urinary incontinence and low complication rates.


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