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Stress urinary incontinence after transobturator mesh for cystocele repair

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Abstract

Cystocele repair can lead to de novo stress urinary incontinence (SUI) or exacerbate pre-existing SUI. This study was designed to determine the effect of cystocele repair by transobturator mesh on SUI. In a retrospective observational study, we saw 93 patients after a transobturator mesh procedure. Of those, 57 women had not undergone a concomitant anti-incontinence procedure. We analyzed their clinical data and ultrasound datasets. At a median follow-up of 9 months, 21 of 24 preoperatively stress incontinent women reported cure/improvement, one patient reported worsened SUI. Seven of 33 preoperatively continent women complained of de novo SUI. There is a net positive effect on SUI (McNemar χ2 exact test p = 0.013) after transobturator mesh. A narrower gap between symphysis pubis and mesh was associated with a positive outcome (p = 0.015 on ANOVA). Transobturator mesh for cystocele repair appears to have a net positive effect on SUI.

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Acknowledgements

This work was part-funded by the Betty Byrne Henderson Foundation, Brisbane, Queensland, Australia. We thank Adrienne Kirby, Biostatistician, Sydney West Area Health Service, for help with the statistical analysis.

Conflicts of interest

A. Rane has received honoraria from AMS for training other surgeons. H.P. Dietz has acted as a consultant for AMS.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Nepean Clinical School, University of Sydney Nepean Hospital, Penrith, NSW 2750, Australia

    K. L. Shek & H. P. Dietz

  2. Department of Obstetrics and Gynecology, James Cook University, Townsville, Australia

    A. Rane

  3. Department of Obstetrics and Gynaecology, Griffith University, Brisbane, Australia

    J. Goh

  4. Nepean Hospital, Western Clinical School Nepean Campus, Level 5, The Spurrett Building, South Block, P.O. Box 63, Penrith, NSW, 2751, Australia

    H. P. Dietz

Authors
  1. K. L. Shek
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  2. A. Rane
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  3. J. Goh
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  4. H. P. Dietz
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Corresponding author

Correspondence to H. P. Dietz.

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Shek, K.L., Rane, A., Goh, J. et al. Stress urinary incontinence after transobturator mesh for cystocele repair. Int Urogynecol J 20, 421–425 (2009). https://doi.org/10.1007/s00192-008-0789-2

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  • DOI: https://doi.org/10.1007/s00192-008-0789-2

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