DIAGNOSTIC AND THERAPEUTIC APPROACH IN WOMEN WITH MIXED URINARY INCONTINENCE
Journal Title: World Science - Year 2018, Vol 5, Issue 4
Abstract
The purpose of this publication is to share the experience and results of the use of synthetic subcutaneous sling in the treatment of women with mixed urinary incontinence, with the stress component being predominant. From 2005 to 2015 88 patients with mixed urinary incontinence were studied, conditionally divided into two groups: Group I (main) consists of 43 women who had a complex of clinical and urodynamic examinations before the treatment; Group II (control) of 45 patients who had only clinical examination before treatment. The surgical treatment includes the midurethral slings TVT-O, TVT-R and TVT-Ophira. The results obtained with the implantation of the different types of sling in mixed type incontinence with predominant stress component are close to the results of subcutaneous mesh in pure stress incontinence whereas the results of sling operations in mixed type incontinence with hyperactive detrusor show significantly lower efficiency. The decision to surgically treat patients with mixed type of incontinence should be based on the urodynamic examination. Thus, in patients with significant detrusor hyperactivity and bladder capacity of less than 200 ml, TVT surgery should not be initially administered. In such a situation, it is necessary to appoint anticholinergic agents and re-perform the urodynamic examination after a while.
Authors and Affiliations
G. Hubchev
Keywords
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