| Autor: |
Ianoși NG; 1Medical Center Dr.Ianosi, Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania., Călbureanu-Popescu MX; 2University of Craiova, Department of Applied Mechanics, Craiova, Romania., Ianoși SL; 3Medical Center Dr.Ianosi, Department of Dermatology, University of Medicine and Pharmacy of Craiova, Romania., Tutunaru C; 3Medical Center Dr.Ianosi, Department of Dermatology, University of Medicine and Pharmacy of Craiova, Romania., Mogoș G; 4CFR Clinical Hospital of Craiova, Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania., Drăgușin L; 1Medical Center Dr.Ianosi, Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania., Gîngeoveanu G; 1Medical Center Dr.Ianosi, Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania., Ifrim-Predoi AM; 4CFR Clinical Hospital of Craiova, Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania., Păun I; 4CFR Clinical Hospital of Craiova, Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania. |
| Abstrakt: |
Urinary stress incontinence is a condition that increases with age, influenced by many factors, mainly anatomical pathological ones, determined by changes of muscular pelvic floor, but also by hormonal and local neurological modifications. The aim of the study was an overview of the efficacy of stress urinary incontinencetherapy with transobturatorurethralsling suspension in patients with or without prior hysterectomy. Additionally, we evaluated the effectiveness and the rate of side effects of this method. The study group consisted of 100 patients and, within it, 32 patients (group A)underwent a hysterectomy.We noticed an improvement of symptoms, a reduced discomfort and an increase of quality of life, more prominent in group B (patients without previous hysterectomy) (p=0,0012, p=0,17 respectively, p=0,03). We consider that transobturator approach in treating stress urinary incontinence is a simple, rapid and effective procedure and, not lastly, modern technique that assures a significant improvement of symptomsand quality of life for the patients; positioning the sling along to the insufficient pubourethral ligaments reinforces the structures supporting the urethra; this approach is minimally-invasive with rapid recovery, reduced hospitalization, is cost effective and involves minimal risks of infection, bleeding, etc. moreover, the transobturator tension free sling has some advantages (no pain or tension). The rate of success of the treatment is significantly lower in patients with prior hysterectomy. |
