Effect of Simultaneous Cystocele Repair On Transobturator Tape In Patients With Stress Urinary Incontinence

Objective\udIn this study, the effect of cystocele repair performed simultaneously with\udtransobturator tape (TOT) on the results of operation was evaluated in patients\udwith stress urinary incontinance (SUI) and pelvis organ prolapsus (POP).\udMaterials and Methods\udThe data of 103 patients who had SUI and cystocele between 2006 and\ud2012 were evaluated retrospectively. The patients who underwent only TOT\udwas classified as group 1 and the patients who underwent cystocele repair\udsimulatenously with TOT were classified as group 2. The patients in group 2\udwere divided as group 2a (low grade cystocele (grade 1 and 2)) and group 2b\ud(high grade (grade 3) cystocele ). The age, number of normal deliveries, pad\udtest, cystocele grade, post-operative complications and preop International\udConsultation on Incontinence Questionnaire-Short Form (ICIQ-SF) forms\udwere evaluated from the patient files. All patients were questioned by ICIQ-SF\udin terms of the final continence status. The groups were compared in terms of\udthe above-mentioned parameters.\udResults\udIt was observed that there was no significant difference between group\ud1 and group 2 in terms of preoperative ICIQ-SF scores (16.06±0.34 and\ud16.82±0.42, respectively) and demographic data at the baseline. It was\udobserved that the postoperative ICIQ-SF scores decreased markedly in both\udgroups (3.28±0.78 and 5.41±1.21, respectively, p<0.01). While there was\udno difference in preoperative ICIQ-SF values in the patients in group 2b in\udcomparison with the patients in group 2a, the postoperative ICIQ-SF scorewas significantly lower. The mean ∆ICIQ-SF score was found to be lower in\udthe patients in group 2a compared to the patients in group 1 and group 2b\ud(8.88±1.98,12.77±0.83, and 13.57±1.42, respectively, p<0.01).\udConclusion\udConclusively, cystocele repair performed simultaneously with TOT does\udnot provide additional improvement in patients with low grade cystocele,\udwhereas cystocele repair performed simultaneously with TOT provides a more\udprominent improvement in patients with high grade cystocel