Abstract

MARTINEZ CORCOLES, Benjamín et al. Voiding symptoms changes after vaginal sling surgery for female stress urinary incontinence. Arch. Esp. Urol. [online]. 2007, vol.60, n.5, pp.545-557. ISSN 0004-0614.

Objectives: To evaluate the changes in voiding symptoms in female patients with stress urinary incontinence (SUI) undergoing transvaginal sling techniques over a five-year period in the Department of Urology at the University Hospital of Albacete. Methods: Between November 2001 and December 2005 126 patients with SUI (mean age 57.09 years; 36-78) underwent transvaginal sling techniques (Sling in Fast, TVT, TOT). All patients were evaluated clinically and urodynamically. Results: Average body mass index (BMI) was 28.14 kg/m2 (SD 4.66; 95% CI: 27.32-28.96). 92 patients (73%) presented between 2-4 previous pregnancies. 99 patients (80.9%) have had birth labour between 2 and 4 times. All of them were vaginal birth labours except 12 cases (9.5%) in which caesarean section had been performed. Daytime voiding frequency after surgery was over 120 minutes in 112 patients (88.9%). Night-time voiding frequency was equal or less than twice in 110 patients (87.3%). 104 patients (82.5%) presented at least two leaking episodes per day, and 105 patients (83.3 %) needed to wear one pad per day or less during the last week before follow-up visit. The number of urinary leak episodes per day diminished in 114 patients (90.5 %) with a mean decrease of 9.65 episodes ( 95 % CI : 8.56-10.79 ) (p <0 . 0001 ) . Ninety-four patients (76.4 % ) were completely dry . Conclusions : Development of new surgical techniques for the treatment of SUI have improved results and diminished the number of complications , an expression of which is the favourable evolution of voiding changes after surgery.

Keywords : Stress urinary incontinence; Voiding symptoms; Surgery.

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