Int Urogynecol J DOI 10.1007/s00192-014-2410-1
ORIGINAL ARTICLE
Two-year urinary outcomes of sacrocolpopexy with or without transobturator tape: results of a prolapsereduction stress test-based approach Myung Jae Jeon & Ji Young Kim & Yeo Jung Moon & Sang Wook Bai & Eun-Hee Yoo
Received: 30 December 2013 / Accepted: 13 April 2014 # The International Urogynecological Association 2014
Abstract Introduction and hypothesis Women undergoing sacrocolpopexy (SCP) are at risk for postoperative stress urinary incontinence (SUI). However, the optimal management for this condition remains debatable. The aim of this study was to evaluate urinary outcomes 2 years after SCP with or without transobturator tape (TOT) based on the results of a prolapse-reduction stress test. Methods A prospective, observational study was conducted assessing a cohort of women undergoing SCP. Patients were assigned to the TOT or non-TOT group based on results of a prolapse-reduction stress test. The primary outcome was SUI (defined as a positive cough stress test or bothersome symptoms) or additional surgery for this condition. Results Among the 247 women enrolled, 223 (90 %) received surgery per assignment and completed the follow-up. Two years after surgery, 5.4 % of women in the TOT group and 28.6 % in the non-TOT group had SUI or received additional anti-incontinence surgery (p
ORIGINAL ARTICLE
Two-year urinary outcomes of sacrocolpopexy with or without transobturator tape: results of a prolapsereduction stress test-based approach Myung Jae Jeon & Ji Young Kim & Yeo Jung Moon & Sang Wook Bai & Eun-Hee Yoo
Received: 30 December 2013 / Accepted: 13 April 2014 # The International Urogynecological Association 2014
Abstract Introduction and hypothesis Women undergoing sacrocolpopexy (SCP) are at risk for postoperative stress urinary incontinence (SUI). However, the optimal management for this condition remains debatable. The aim of this study was to evaluate urinary outcomes 2 years after SCP with or without transobturator tape (TOT) based on the results of a prolapse-reduction stress test. Methods A prospective, observational study was conducted assessing a cohort of women undergoing SCP. Patients were assigned to the TOT or non-TOT group based on results of a prolapse-reduction stress test. The primary outcome was SUI (defined as a positive cough stress test or bothersome symptoms) or additional surgery for this condition. Results Among the 247 women enrolled, 223 (90 %) received surgery per assignment and completed the follow-up. Two years after surgery, 5.4 % of women in the TOT group and 28.6 % in the non-TOT group had SUI or received additional anti-incontinence surgery (p
