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Effects of Surgical Anatomical Correction of Pelvic Anterior Compartment Defect on Lower Urinary Tract Symptoms

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Date

2018

Author

Başer, Emre
Özdemirci, Şafak
Uysal, Dilek
Karahanoğlu, Ertuğrul
Sivaslıoğlu, Akın

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Abstract

ObjectiveTo evaluate the effects of surgical anatomical correction on lower urinary tract symptoms (LUTS) in patients with a pelvic anterior compartment defect (PACD). MethodsThis prospective study was carried out on 30 women who had stage II-IV PACD. The women were questioned regarding LUTS symptoms such as urgency, urge incontinence, frequency, hesitancy, abnormal emptying, nocturia and dysuria pre and postoperatively. After a 7-month follow up, the comparison of LUTS symptoms with respect to their healing, existence or de novo appearance was performed using the McNemar and Bowner and Wilcoxon signed-rank tests. ResultsFor the repair of ACD, 15, 8 and 7 women were operated on using site-specific surgery, transvaginal mesh placement and anterior colporrhaphy, respectively. Surgery has significantly improved the LUTS: urgency (100 vs 26.7%, urge incontinence (70 vs 16.7%), frequency (76.7 vs 13.3%), abnormal emptying (56.7 vs 10%), hesitancy (30 vs 6.7%), nocturia (83.3 vs 60%) and dysuria (30 vs 6.7%). The differences were statistically significant (P<0.05). ConclusionsThe correctional surgery on anterior compartment defects not only maintains the anatomy but also significantly heals the LUTS.

Source

Luts-Lower Urinary Tract Symptoms

Volume

10

Issue

3

URI

https://doi.org/10.1111/luts.12180
https://hdl.handle.net/20.500.12809/1354

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  • Cerrahi Tıp Bilimleri Bölümü Koleksiyonu [543]
  • PubMed İndeksli Yayınlar Koleksiyonu [2082]
  • Scopus İndeksli Yayınlar Koleksiyonu [6219]
  • WoS İndeksli Yayınlar Koleksiyonu [6466]



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