The impact of vaginal cone therapy on stress urinary incontinence compared with transobturator tape
Journal Title: Turkish Journal of Obstetrics and Gynecology - Year 2019, Vol 16, Issue 3
Abstract
Objective: To emphasize the efficiency of vaginal cone (VC) therapy in stress urinary incontinence (SUI) through a comparison with transobturator tape (TOT). Materials and Methods: A prospective randomized controlled study was conducted at the Etlik Zübeyde Hanım Maternity and Women Hospital during a one year study period. Forty women were allocated into two equal groups; those treated with VCs for a 3 month period, and women who underwent TOT procedures. These women were followed up at 6 weeks and 6 months after the treatments. Subjective cure was assessed using Wagner’s Quality of Life Questionnaire. Objective cure was evaluated through a cough stress and pad test results. Results: Maternal demographic features were comparable among groups. We observed improvement in pad weight test among groups when compared with the pretreatment state (p=0.015, p=0.005). Although the subjective cure rate was similar in both groups at the 6th week and 6th month follow up (65% vs. 75%; 75% vs. 80%) (p>0.05), the objective cure rate was significantly higher in the TOT group than in the VC group, as expected (10% vs. 80%; 30% vs. 75%) (p<0.05). Conclusion: The main treatment of SUI is surgery; however, VC could be offered as an alternative treatment for women who refuse surgery, those at high risk for surgery or it could be used temporarily before surgery.
Authors and Affiliations
Rıza Dur, İltaç Akkurt, Bora Coşkun, Gamze Dur, Buğra Çoşkun, Mehmet Ünsal, Ahmet Akın Sivaslıoğlu
Keywords
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- EP ID EP684619
- DOI 10.4274/tjod.galenos.2019.89137
- Views 160
- Downloads 0
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