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Int Urogynecol J Pelvic Floor Dysfunct. 2009 Apr;20(4):421-5. doi: 10.1007/s00192-008-0789-2. Epub 2008 Dec 20.

Stress urinary incontinence after transobturator mesh for cystocele repair.

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Department of Obstetrics and Gynaecology, Nepean Clinical School, University of Sydney Nepean Hospital, Penrith, NSW 2750, Australia.


Cystocele repair can lead to de novo stress urinary incontinence (SUI) or exacerbate pre-existing SUI. This study was designed to determine the effect of cystocele repair by transobturator mesh on SUI. In a retrospective observational study, we saw 93 patients after a transobturator mesh procedure. Of those, 57 women had not undergone a concomitant anti-incontinence procedure. We analyzed their clinical data and ultrasound datasets. At a median follow-up of 9 months, 21 of 24 preoperatively stress incontinent women reported cure/improvement, one patient reported worsened SUI. Seven of 33 preoperatively continent women complained of de novo SUI. There is a net positive effect on SUI (McNemar chi(2) exact test p = 0.013) after transobturator mesh. A narrower gap between symphysis pubis and mesh was associated with a positive outcome (p = 0.015 on ANOVA). Transobturator mesh for cystocele repair appears to have a net positive effect on SUI.

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