Podium Session

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PD50-01: The Value of Repair of Asymptomatic Grade II Pelvic Organ Prolapse during Mid Urethral Sling Surgery for Stress Urinary Incontinence: A prospective randomized study of 72 cases

Monday, May 15
7:00 AM - 7:10 AM
Location: BCEC: Room 157

Presentation Authors: Samer Morsy, Hussein Hussein*, Ahmed Abdel Aziz, Dalia Abdel Azim, Sarah Hassan, Eman Hussein, Mohamed Abdel Azim, Cairo, Egypt

Introduction: To compare the clinical outcome between midurethtral sling procedure for stress urinary incontinence with and without concomitant repair of asymptomatic grade II pelvic organ prolapse (cystocele) repair.






Methods:
Seventy two female patients with stress urinary incontinence (SUI) and asymptomatic grade II cystocele were included in a randomized study between June 2014 and June 2015. They were divided equally into two groups. Group (A) treated only with trans-obturator tape (TOT) without treatment of the cystocele while in group (B) TOT was associated with cystocele repair by a tailored proline mesh. Postoperative follow up was performed after 3, 6 and 12 months. The two groups were compared regarding clinical outcome of SUI (cure, improvement or failure) and development of any denovo events.


Results:
For clinical outcomes based on patients’ subjective symptoms, the cure rate of group (A) was 77.8%.66.7% and 66.7% meanwhile for group (B) was 85%,90% and 90% at 3,6 and 12 months, respectively (p<0.05). Cystocele was cured in all patients in group (B). Six patients (17%) with asymptomatic cystocele grade II in group (A) became symptomatic or with a higher grade at 6 months duration that required surgical repair. Denovo urgency with or without UUI was 12.5% in group (A) increasing up to 50% at 6 months follow up which was treated with anticholenergic medications, but was 5% in group (B) with highly stastistically significant difference (p<0.05).


Conclusions:
Concomitant asymptomatic cystocele repair with midurethral sling improve the cure rate of stress urinary insentience, reduce the incidence of denovo urgency incontinence and worsening of existing cystocele.


Source Of Funding: "none"

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PD50-01: The Value of Repair of Asymptomatic Grade II Pelvic Organ Prolapse during Mid Urethral Sling Surgery for Stress Urinary Incontinence: A prospective randomized study of 72 cases



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