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Int Urogynecol J. 2010 Feb;21(2):173-8. doi: 10.1007/s00192-009-1010-y. Epub 2009 Oct 3.

The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up.

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  • 1Division of Urogynecology, Department of Obstetrics and Gynecology, Faculty of Medicine, Maltepe University, Barbaros Mah. Dereboyu Cd. My World Starland D1-1 Blok D:101, Bati Atasehir, Istanbul, Turkey. bernadr23@hotmail.com

Abstract

INTRODUCTION AND HYPOTHESIS:

The aim of this study is to investigate the effect of intrinsic sphincter deficiency (ISD) and urethral hypermobility on the outcome of the transobturator tape (TOT).

METHODS:

Sixty-five women were divided into three groups: group I, ISD with hypermobile urethra (n = 18); group II, ISD with fixed urethra (n = 16); and group III, hypermobile urethra without ISD (n = 31). Cure of stress urinary incontinence was defined if the patient had negative cough stress test. Cure and improvement rates were compared at 6, 12, and 24 months.

RESULTS:

The cure and improvement rates of groups I and III were similar at 6, 12, and 24 months (96.1% vs 96.6%, 96.1% vs 96.6%, and 87.5 vs %96.4%, respectively). Group II had the lowest cure and improvement rates (68.7%, 66.7%, and 66.7%, respectively).

CONCLUSION:

A lack of urethral hypermobility may be a risk factor for TOT failure.

PMID:
19802505
[PubMed - indexed for MEDLINE]
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