Effect of Simultaneous Cystocele Repair on Transobturator Tape Outcome in Female Patients with Pure Stress Urinary Incontinence

Abstract

ABSTRACT:BACKGROUND:Today; mid urethral slings are the first option for surgical treatment of stress urinary incontinence (SUI) due to high success rates and minimally invasive characteristics of the procedure. Concomitant prolapse surgery does not appear to have an effect on treatment outcomes according to previous studies predominantly evaluating tension-free vaginal tape (TVT) procedures.OBJECTIVE:To evaluate the efficacy of cystocele repair performed simultaneously with trans obturator tape (TOT) on the outcome of operation in patients with stress urinary incontinence (SUI) and pelvis organ prolapse (POP).PATIENTS AND METHODS:The data of patients who had SUI and cystocele were evaluated prospectively and Patients who underwent only TOT were classified as group 1 and the patients who underwent TOT simultaneously with cystocele repair (grades 1&2) were classified as group 2. The age, number of normal deliveries, number of pad used per day, cystocele grade, and duration of operation, pre- op International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and postoperative complications were evaluated.RESULTS:It was observed that there was no significant difference between groups 1 and group 2 in terms of preoperative International Consultation on Incontinence Questionnaire-Short Form scores (16.08±0.32 and 16.71±0.31, respectively). It was observed that the postoperative ICIQ-SF scores decreased markedly in both groups (2.31±0.69 and 4.42±1.21, respectively, p=0.003).CONCLUSION:Cystocele repair performed simultaneously with TOT in patients with mild to moderate (grade 1&grade2) cystocele did not provide additional improvement on TOT alone in regard to treatment of SUI.