Postoperative Evaluation of Patients Operated with the New Technique for Stress Urinary Incontinence

Authors: Kaplan I*

DOI: 10.23880/whsj-16000237

Volume 8, Issue 2

Abstract

Objectives: Our study aims to bring a new perspective to stress urinary incontinence surgery. Material and Methods: 300 female patients diagnosed with stress incontinence urodynamically between January 2013 and 2023 were included in the study. The complete recovery status of the patients after the operation was examined. Our study is based on a new surgical technique. Preoperative evaluation included history, physical examination, stress test, 1-hour pad test, urine culture, 7-day voiding diary, residual urine measurement, and urodynamic examination. In postoperative evaluation, intraoperative and postoperative complications such as stress test, 1-hour pad weighing test, operation time, urinary tract infection, urination problems, de novo urgency symptoms, and urinary retention were taken into consideration. SPSS (IBM SPSS for Windows, Ver.26) statistical package program was used for the statistical analysis of our study. Results: The average age of the patients is 46.19. The average duration of stress incontinence in patients is 6.85 years. Incontinence was observed in 6 patients after the operation. Complete cure was achieved in 294 of the patients and it was found to be statistically significant (p=0.000). The success rate of the method was found to be 98% in our study. The changes in the stress test and Q-type test results before and after the operation were found to be statistically significant (p=0.000). The changes detected in the postoperative pad test were found to be statistically significant (p=0.004). Urinary retention was observed in 12 patients due to the operation. Conclusion: The success of our operation is quite high compared to the literature. It is an effective and safe method in the treatment of stress incontinence.

Keywords: Incontinence; Stress Incontinence; Surgical Treatment; Urogynecology

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