Ginecología y Obstetricia de México

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>Journals >Ginecología y Obstetricia de México >Year 2017, Issue 04

Granados-Martínez V, Rodríguez-Colorado ES, Gorbea-Chávez V, Ramírez-Isarraráz C, Torres-Valdez E
Anti-incontinence surgery in postmenopausal women
Ginecol Obstet Mex 2017; 85 (04)

Language: Español
References: 16
Page: 241-246
PDF: 115.70 Kb.

[Full text - PDF]


Objetive: Compared the rates of objective and subjective cure, in menopause female after incontinence procedures.
Materials and Methods: Retrospective study, between January 2009 and December 2011, 167 female patients with urinary incontinence who underwent a incontinence procedure, where divided in 3 groups: Group I: under 45 years (n=50), Group II: 45 to 65 years (n=109), Group III: up 65 years (n=8). The sequential outcomes and urodynamic findings were comparing and analyzed.
Results: The rates of subjective cure was 82% and 80.7% in Group I and II, 100% in Group 3, p=NS. The rates of objective cure was 90%, 92.6% and 50%, for each group p=NS. The transobturator procedure was the most done in group I and II, 52% and 48.6%, and retropubic procedure in group III 62.5%. The length of hospital stay (3 days) in Group III, p=0.018. The significant lower postoperative maximal urethral closure pressure in all groups, Group I was 48.8 cmH2O to 43.6 cmH2O, Group II was 46.1 cmH2O to 45.8 cmH2O and Group III was 38.1 cmH2O to 31 cmH2O, (p‹0.005)
Conclusion: Despite the decrease in subjective cure, higher morbidity and lower maximum urethral closure pressure in women older than 65 years, there was no clinical difference in the evolution.

Key words: Stress and urgency incontinence, Urodynamic study, Tape procedure.

>Journals >Ginecología y Obstetricia de México >Year 2017, Issue 04
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