Predictors of voiding dysfunction following Uphold™ mesh repair for the treatment of pelvic organ prolapse.
Eur J Obstet Gynecol Reprod Biol
; 255: 34-39, 2020 Dec.
Article
en En
| MEDLINE
| ID: mdl-33070088
ABSTRACT
OBJECTIVE:
To identify factors associated with voiding dysfunction after Uphold™ transvaginal mesh (TVM) repair in women with pelvic organ prolapse (POP). STUDYDESIGN:
We performed a retrospective analysis of 110 women with symptomatic pelvic organ prolapse (POP), anterior vaginal wall prolapse and/or apical prolapse (stage II to IV) who were scheduled for Uphold™ mesh surgery from September 2015 through December 2016. All subjects underwent urinalyses, UDI-6, IIQ-7, ICI-Q, POPDI-6, and pelvic examinations using the POP quantification (POP-Q) staging system before and after surgeries, with follow-up durations ranging from 24-36 months.RESULTS:
A total of 12 (10.9 %) of 110 women reported voiding dysfunction after Uphold™ mesh surgery. Using univariate analysis, there were no differences in body mass index and urodynamic parameters between normal voiding group and dysfunctional voiding group (P > 0.05). However, in patients aged above 71, POPDI-6 scoreâ§13, preoperative concomitant urinary hesitancy, and incomplete emptying were found to be significant predictors of voiding dysfunction following Uphold™ mesh surgeries (P < 0.05).CONCLUSION:
In patients aged above 71, POPDI-6 scoreâ§13, preoperative concomitant urinary hesitancy, and incomplete emptying were significant predictors of voiding dysfunction after Uphold™.Palabras clave
Texto completo:
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Base de datos:
MEDLINE
Asunto principal:
Prolapso Uterino
/
Cabestrillo Suburetral
/
Prolapso de Órgano Pélvico
Tipo de estudio:
Observational_studies
/
Prognostic_studies
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Risk_factors_studies
Idioma:
En
Revista:
Eur J Obstet Gynecol Reprod Biol
Año:
2020
Tipo del documento:
Article