A comparison of transobturator versus retropubic midurethral slings for mixed urinary incontinence

被引：4

作者：

Kudish B.I. ^{[1
,2
]}

Shveiky D. ^{[1
]}

Iglesia C.B. ^{[1
]}

Sokol A.I. ^{[1
]}

Gutman R.E. ^{[1
]}

机构：

[1] Division of Female Pelvic Medicine and Reconstructive Surgery, Departments of Obstetrics and Gynecology and Urology, Washington Hospital Center, Washington, DC

[2] Fellow in Female Pelvic Medicine and Reconstructive Surgery, Washington Hospital Center Georgetown University, Washington, DC 20010-2975, 106 Irving St, NW

来源：

Female Pelvic Medicine and Reconstructive Surgery | 2010年 / 16卷 / 02期

关键词：

Midurethral slings; Mixed urinary incontinence; Urge urinary incontinence;

D O I：

10.1097/SPV.0b013e3181cb97f0

中图分类号：

学科分类号：

摘要：

Purpose: The primary objective of this study was to compare improvement and/or cure of mixed urinary incontinence (MUI) symptoms after retropubic (RP) versus transobturator (TO) slings. The secondary objective was to compare improvement and/or cure of the urge urinary incontinence (UUI) component of MUI. Methods: This retrospective cohort study included all patients with MUI who underwent a midurethral sling from January 2006 to May 2007. IRB approval was obtained to perform telephone interviews to collect the Patient Global Impression of Improvement (PGI-I) questionnaire for MUI and to elicit any changes in the SUI and/or UUI components of MUI. The primary outcome was based on a 7-point Likert scale for the PGI-I questionnaire. The secondary outcome was improvement or resolution of the UUI component of MUI based on a 4-point Likert scale of patient responses to the question, "Is your urge incontinence worse, the same, or improved after surgery?" Subjects who had RP slings were compared with those with TO with respect to these outcomes. Patient satisfaction, adverse events, urinary retention, and worsening of urge incontinence symptoms were also assessed. MUI have improvement/cure of the UUI component. Copyright © 2010 by Lippincott Williams & Wilkins.

引用

页码：113 / 120

页数：7

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