ONE-STAGE AND TWO-STAGE SURGICAL TREATMENT OF THE PELVIC ORGAN PROLAPSE COMBINED WITH STRESS URINARY INCONTINENCE
Aim. To compare the efficiency of one-stage and two-stage vaginoplasty and suburethral sling placement in patients with pelvic organ prolapse combined with stress urinary incontinence. Materials and Methods. We recruited 242 women with second-degree pelvic organ prolapse requiring surgical treatment...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Kemerovo State Medical University
2019-03-01
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| Series: | Фундаментальная и клиническая медицина |
| Subjects: | |
| Online Access: | https://fcm.kemsmu.ru/jour/article/view/127 |
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| Summary: | Aim. To compare the efficiency of one-stage and two-stage vaginoplasty and suburethral sling placement in patients with pelvic organ prolapse combined with stress urinary incontinence. Materials and Methods. We recruited 242 women with second-degree pelvic organ prolapse requiring surgical treatment. Of these, 63 patients having stress urinary incontinence according to the cough test were randomized to undergo either one-stage (n = 31) or two-stage (n = 32) vaginoplasty and suburethral sling placement (3 months after the vaginoplasty). The primary outcome was the frequency of complaints on stress urinary incontinence after 4 months of follow-up. Secondary outcomes included prevalence of postoperative complications, cough test results, score of Incontinence Impact Questionnaire, Short Form (IIQ-7), and degree of prolapse (Pelvic Organ Prolapse Quantifications System). Results. Both surgical approaches did not differ in prevalence of early postoperative complications and long-term treatment outcomes. Conclusions. One-stage and two-stage vaginoplasty and suburethral sling placement have equal efficiency in treating the patients with pelvic organ prolapse combined with stress urinary incontinence. |
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| ISSN: | 2500-0764 2542-0941 |