Table of Contents
ISRN Obstetrics and Gynecology
Volume 2014 (2014), Article ID 643495, 5 pages
http://dx.doi.org/10.1155/2014/643495
Clinical Study

Occurrence of Pre- and Postoperative Stress Urinary Incontinence in 105 Patients Who Underwent Tension-Free Vaginal Mesh Surgery for Pelvic Organ Prolapse: A Retrospective Study

Department of Obstetrics and Gynecology, Shimane University, School of Medicine, 89-1 Enya-cho, Izumo, Shimane 693-8501, Japan

Received 12 December 2013; Accepted 31 December 2013; Published 6 February 2014

Academic Editors: P. G. Larsson, S. Palomba, and J. Xercavins

Copyright © 2014 Haruhiko Kanasaki et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To examine retrospectively the occurrence of stress urinary incontinence (SUI) in patients who underwent transvaginal mesh repair (TVM) for pelvic organ prolapse (POP). Methods. The presence of preoperative SUI and postoperative changes in SUI was retrospectively analyzed for 105 patients who underwent TVM for POP between September 2009 and September 2012. Results. Preoperative SUI was observed in almost half of the patients ( ) who underwent TVM surgery. No significant differences were seen in patient age, pelvic organ prolapse quantification (POP-Q) stage, or primary POP complaint between those with and without preoperative SUI. Of the 50 patients with preoperative SUI, SUI was resolved in 14 (28%) following TVM surgery. Of the 55 patients without preoperative SUI, de novo postoperative SUI appeared in 26 (47.3%), of whom approximately half experienced resolution or improvement of SUI within 6 months postoperatively. There was no relationship between preoperative residual urine volume and occurrence of postoperative SUI. Conclusion. TVM surgery is a useful surgical method that can replace traditional methods for treating POP, but sufficient informed consent with regards to the onset of postoperative SUI is required.