Effects of anterior trocar guided transvaginal mesh surgery on lower urinary tract symptoms
✍ Scribed by Marion Ek; Daniel Altman; Christian Falconer; Sigurd Kulseng-Hanssen; Gunilla Tegerstedt
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 94 KB
- Volume
- 29
- Category
- Article
- ISSN
- 0733-2467
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
Aims
To assess the effects of trocar guided transvaginal mesh on lower urinary tract symptoms after anterior vaginal wall prolapse repair.
Methods
One hundred twenty‐one patients undergoing anterior transvaginal mesh surgery was prospectively evaluated at baseline and 1 year after surgery using the urogenital distress inventory (UDI).
Results
Overall UDI scores declined from 91 before surgery to 31 one year after surgery (P < 0.001). UDI subscales for obstructive and irritative symptoms improved 1 year after surgery (P < 0.001 for both) while stress symptoms did not (P = 0.11).
Conclusion
Trocar guided transvaginal mesh surgery for anterior vaginal wall prolapse was associated with an overall resolution of most symptoms associated with overactive bladder syndrome and bladder outlet obstruction. These beneficial effects should be weighed against an increased risk for stress urinary incontinence related to the procedure. Neurourol. Urodynam. 29:1419–1423, 2010. © 2010 Wiley‐Liss, Inc.