Lack of effect of concomitant stage II cystocele repair on lower urinary tract symptoms and surgical outcome after tension-free vaginal tape procedure: randomized controlled trial

Park, Hyoung Keun; Paick, Sung Hyun; Lho, Yong Soo; Choo, Gwoan Youb; Kim, Hyeong Gon; Choi, Jaekyung

doi:10.1007/s00192-012-1961-2

Cited by 7 publications

(9 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As mentioned above, presence of cystocele may affect the success of midurethral sling operation by acting on micturation function (5,6). In addition, it is known that presence of cystocele is an important risk factor for failure in patients who will undergo midurethral sling operation because of SIU (5,6). In one study, it was shown that resistant micturation defects were present after sling operation in patients with high-grade cystocele (5,6).…”

Section: Discussionmentioning

confidence: 99%

“…The risks and postoperative benefits of surgery should be considered in patients who will undergo cystocele repair simultaneously with midurethral sling operation. As mentioned above, presence of cystocele may affect the success of midurethral sling operation by acting on micturation function (5,6). In addition, it is known that presence of cystocele is an important risk factor for failure in patients who will undergo midurethral sling operation because of SIU (5,6).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, it is known that presence of cystocele is an important risk factor for failure in patients who will undergo midurethral sling operation because of SIU (5,6). In one study, it was shown that resistant micturation defects were present after sling operation in patients with high-grade cystocele (5,6). In another study, it was found that simultaneous cystocele repair had no effect on the success of surgery in the patients who had low grade cystocele compared to the patients who underwent only TVT (6).…”

Section: Discussionmentioning

confidence: 99%

“…In such cases, cystocele repair performed simultaneously with midurethral sling operation may increase the success of surgery (5). When cystocele repair is not performed simultaneously, change in the urethral angle may develop postoperatively and the patients may present again with postoperative micturation difficulty or urethral obstruction (5,6). In addition, an increase in the complications including infection, vaginal erosion, increase in blood loss, anatomical disturbance and micturation disturbance or urethral obstructions was observed (7).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effect of Simultaneous Cystocele Repair On Transobturator Tape In Patients With Stress Urinary Incontinence

Bozkurt¹,

Çelik²,

Çömez³

et al. 2014

jus

View full text Add to dashboard Cite

Currently, midurethral sling operations are the first-line operations in surgical treatment of stress urinary incontinence (SUI) with their high success rates and minimally invasive properties. It was observed that simultaneous prolapsus surgery did not have a marked effect on the operation results in most of the previous studies in which mostly tension-free vaginal tape (TVT) was evaluated. In addition, there are publications reporting that complications increased. Since there is no sufficient data related with cystocele repair performed simultaneously with TOT in patients with SUI and accompanying pelvic organ prolapsus, this study will contribute to the literature on this subject. What's known on the subject? and What does the study add? ABSTRACT ÖZET Objective In this study, the effect of cystocele repair performed simultaneously with transobturator tape (TOT) on the results of operation was evaluated in patients with stress urinary incontinance (SUI) and pelvis organ prolapsus (POP). Materials and Methods The data of 103 patients who had SUI and cystocele between 2006 and 2012 were evaluated retrospectively. The patients who underwent only TOT was classified as group 1 and the patients who underwent cystocele repair simulatenously with TOT were classified as group 2. The patients in group 2 were divided as group 2a (low grade cystocele (grade 1 and 2)) and group 2b (high grade (grade 3) cystocele). The age, number of normal deliveries, pad test, cystocele grade, post-operative complications and preop International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) forms were evaluated from the patient files. All patients were questioned by ICIQ-SF in terms of the final continence status. The groups were compared in terms of the above-mentioned parameters. Results It was observed that there was no significant difference between group 1 and group 2 in terms of preoperative ICIQ-SF scores (16.06±0.34 and 16.82±0.42, respectively) and demographic data at the baseline. It was observed that the postoperative ICIQ-SF scores decreased markedly in both groups (3.28±0.78 and 5.41±1.21, respectively, p<0.01). While there was no difference in preoperative ICIQ-SF values in the patients in group 2b in comparison with the patients in group 2a, the postoperative ICIQ-SF score Amaç Bu çalışma ile stres tip idrar kaçırması (STİK) ve pelvik organ prolapsusu (POP) olan hastalarda transobturator tape (TOT) ile eş zamanlı sistosel onarımının operasyon sonuçları üzerine olan etkisi değerlendirildi. Gereç ve Yöntem 2006-2012 yılları arasında STİK ve sistoseli olan 103 hastanın verileri retrospektif olarak değerlendirildi. Yalnız TOT uygulanan hastalar grup 1, TOT ile eş zamanlı sistosel onarımı yapılan hastalar grup 2 olarak belirlendi. Grup 2 hastalar, düşük evre sistoseli (evre 1 ve 2) olan hastalar grup 2a ve yüksek evre sistoseli (evre 3) olan hastalar grup 2b şeklinde ayrıldı.-Hasta kayıtlarından hastaların yaşları, normal doğum sayıları, ped testi, sistosel evresi, postoperatif komplikasyonlar ve preop Internati...

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of Simultaneous Cystocele Repair On Transobturator Tape In Patients With Stress Urinary Incontinence

Bozkurt¹,

Çelik²,

Çömez³

et al. 2014

jus

View full text Add to dashboard Cite

show abstract

“…Park et al 36 assessed a different dimension: the impact of concomitant repair of asymptomatic POP on the outcomes of SMUS. They evaluated 91 women with SUI and asymptomatic grade 2 cystocele.…”

Section: Group C: Women With Stress Urinary Incontinence and Asymptommentioning

confidence: 99%

Continence surgery at the time of pelvic organ prolapse repair: a review of the literature

Loganathan

Fayyad

Abdel‐Fattah

2019

The Obstetric & Gynaecologis

View full text Add to dashboard Cite

Key content Pelvic organ prolapse and incontinence are significant health problems; one in nine women are affected by prolapse and one in three by stress urinary incontinence. Pelvic floor muscle training remains the first‐line treatment for stress urinary incontinence. Concomitant surgical correction for coexisting symptomatic prolapse and incontinence is an option for treatment, but persistent postoperative incontinence can be challenging to manage. Delayed or interval continence procedures may be beneficial and should be discussed with women preoperatively. Learning objectives To understand the health burden and prevalence of pelvic organ prolapse and incontinence in the population. To understand the surgical treatment options available. To learn about the advantages and disadvantages of concomitant surgery in patients with symptomatic or occult stress incontinence and in those who are continent. Ethical issues Should transvaginal prolapse repair and concomitant synthetic miduretheral sling be offered to women without stress urinary incontinence? Should all women be preoperatively screened for occult stress urinary incontinence, given its prevalence and implications for postoperative outcomes?

show abstract

A systematic review of outcome and outcome-measure reporting in randomised trials evaluating surgical interventions for anterior-compartment vaginal prolapse: a call to action to develop a core outcome set

Durnea

Pergialiotis²,

Duffy

et al. 2018

Int Urogynecol J

View full text Add to dashboard Cite

IntroductionWe assessed outcome and outcome-measure reporting in randomised controlled trials evaluating surgical interventions for anterior-compartment vaginal prolapse and explored the relationships between outcome reporting quality with journal impact factor, year of publication, and methodological quality.MethodsWe searched the bibliographical databases from inception to October 2017. Two researchers independently selected studies and assessed study characteristics, methodological quality (Jadad criteria; range 1–5), and outcome reporting quality Management of Otitis Media with Effusion in Cleft Palate (MOMENT) criteria; range 1–6], and extracted relevant data. We used a multivariate linear regression to assess associations between outcome reporting quality and other variables.ResultsEighty publications reporting data from 10,924 participants were included. Seventeen different surgical interventions were evaluated. One hundred different outcomes and 112 outcome measures were reported. Outcomes were inconsistently reported across trials; for example, 43 trials reported anatomical treatment success rates (12 outcome measures), 25 trials reported quality of life (15 outcome measures) and eight trials reported postoperative pain (seven outcome measures). Multivariate linear regression demonstrated a relationship between outcome reporting quality with methodological quality (β = 0.412; P = 0.018). No relationship was demonstrated between outcome reporting quality with impact factor (β = 0.078; P = 0.306), year of publication (β = 0.149; P = 0.295), study size (β = 0.008; P = 0.961) and commercial funding (β = −0.013; P = 0.918).ConclusionsAnterior-compartment vaginal prolapse trials report many different outcomes and outcome measures and often neglect to report important safety outcomes. Developing, disseminating and implementing a core outcome set will help address these issues.

show abstract

Lack of effect of concomitant stage II cystocele repair on lower urinary tract symptoms and surgical outcome after tension-free vaginal tape procedure: randomized controlled trial

Abstract: In patients with stage II cystocele and SUI, there was no difference in the surgical outcome and lower urinary tract symptoms between the TVT sling only group and concomitant repair group. Cystocele repair can be safely omitted in patients with stage II cystocele.

Cited by 7 publications

References 12 publications

Effect of Simultaneous Cystocele Repair On Transobturator Tape In Patients With Stress Urinary Incontinence

Effect of Simultaneous Cystocele Repair On Transobturator Tape In Patients With Stress Urinary Incontinence

Continence surgery at the time of pelvic organ prolapse repair: a review of the literature

A systematic review of outcome and outcome-measure reporting in randomised trials evaluating surgical interventions for anterior-compartment vaginal prolapse: a call to action to develop a core outcome set

Contact Info

Product

Resources

About