6533b822fe1ef96bd127cd92

RESEARCH PRODUCT

Monoprosthesis for simultaneous correction of stress urinary incontinence and cystocele: a 3-year follow-up.

Biagio AdileSalvatore ScurriaFrancesco SommatinoLaura Lo VersoGiorgio GugliottaGiorgio Adile

subject

medicine.medical_specialtybusiness.industryUrinary Incontinence StressMean ageUrinary incontinenceGeneral MedicineFasciaSurgerymedicine.anatomical_structureSurveys and QuestionnairesmedicineHumansProspective Studiesmedicine.symptombusinessCystoceleFollow-Up Studies

description

BACKGROUND Stress Urinary Incontinence (SUI) and cystocele can occur simultaneously because they have identical predisposing factors. This procedure reinforces pubourethral ligaments and the vesicovaginal fascia, solving SUI and Cystocele. METHODS 57 patients with grade III or higher cystocele were enrolled in this trial; SUI was present in 20% of patients (mean age: 57 years). NAZCA TC was used as monoprosthesis. Prolapse was evaluated using the POP-Q System, sexuality using the FSFI questionnaire, and LUTS using the OAB-SF questionnaire. RESULTS After surgery, there were positive changes, sustained during the follow-up: SUI was cured in 80% patients; there was only one patient with de novo SUI and a single case of prolapse recurrence. CONCLUSIONS These results suggest that NAZCA TC is safe and effective, adding the advantage of correcting SUI at the same time.

10.5301/ru.2012.9381https://pubmed.ncbi.nlm.nih.gov/22760934