Objective To investigate the correlation between pelvic mesh reconstructive surgery and stress urinary incontinence.Methods This is a retrospective analysis on 123 patients who underwent pelvic mesh reconstructive surgery in obstetrics and gynecology department of our hospital from January 2012 to January 2013.Preoperative SUI assessment and postoperative SUI occurrence were registered.Results 123 patients were followed up for 6 months postoperatively.Two patients,including one with and another without preoperative SUI symptoms,required reoperation because of severe postoperative SUI.Both of them didn’t undergo TVT-O surgery.13 cases(26.5%) were suffered from postoperative SUI in 49 cases without preoperative SUI who didn’t undergo simultaneously TVT-O surgery.None of 4 cases without preoperative SUI but undergone intraoperative TVT-O surgery had postoperative SUI.31 cases with preoperative SUI didn’t undergo TVT-O surgery,6 cases(19.4%) persisted postoperative SUI.39 cases with preoperative SUI underwent intraoperative TVT-O surgery,postoperative SUI existed in 1 case(2.6%).Conclusion The results of this study indicate that pelvic reconstruction surgery with simultaneously TVT-O surgery can release postoperative SUI symptoms and reduce the incidence of postoperative SUI.Pelvic mesh reconstruction surgery can alleviate incontinence symptoms or even the symptoms disappear in the case of pelvic prolapse with stress urinary incontinence.But for patients without preoperative SUI,we generally advocate not do advocate prophylactic anti-incontinence surgery.
ZHONG Yan-bo
,
CHU Lei
,
LI Huai-fang
,
WANG Jian-jun
. Study of correlation between stress urinary incontinence and pelvic mesh reconstruction[J]. Surgical Research and New Technique, 2013
, 2(3)
: 159
-162
.
DOI: 10.3969/j.issn.2095-378X.2013.03.007
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