Volume : 6, Issue : 12, December - 2017

Clinical study of surgical modalities in the management of female stress urinary incontinence- Prospective study

Prabhakara Rao M, Suman G, Venkata Raviteja R

Abstract :

<p>&nbsp;<span style="font-size: 12pt;">AIMS OF THE STUDY:</span></p> <p class="MsoNormal" style="text-indent:.5in;line-height:normal"><span style="font-size:12.0pt">1.To determine the efficacy of different surgical modalities that are performed in our institute for genuine stress incontinence namely 1.pubovaginal sling(PVS),2.tension free vaginal tape(TVT)3.transobturator tape (TOT)and to analyse the various clinical parameters that may influence their outcome.<o:p></o:p></span></p> <p class="MsoNormal" style="text-indent:.5in;line-height:normal"><span style="font-size:12.0pt">2.To&nbsp; compare the results of our study with those of similar studies in literature.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:normal"><span style="font-size:12.0pt">METHODOLOGY:<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:normal"><span style="font-size:12.0pt">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; A total of 32 patients with symptoms of genuine stress incontinence between June 2014 and June 2017, who underwent 3 different surgical procedures are analysed for various outcomes. All the patients were initially evaluated by taking detailed history, physical examination, Stamey grading, pad test, uroflow, valsalva leak point pressure, cystoscopy and Bonney&rsquo;s test<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:normal"><span style="font-size:12.0pt">RESULTS:<o:p></o:p></span></p> <p class="MsoNormal" style="text-indent:.5in;line-height:normal"><span style="font-size:12.0pt">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Out of the 32 patients, 30 patients are cured of their symptoms and in 2patients , the symptoms improved. There is no failure rate.<o:p></o:p></span></p> <p class="MsoNormal" style="text-indent:.5in;line-height:normal"><span style="font-size:12.0pt">Of the 3 types of surgical procedures performed, there is 100% success rate (6 patients) for Pubovaginal sling (PVS), 92.8%(13 patients) for Tension-free vaginal tape (TVT) and 90% success rate for Transobturator tape(TOT) procedures. Complications are minimal and minor.<o:p></o:p></span></p>