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Urodynamic assessment of anterior vaginal wall surgery: A randomized comparison between colporraphy and transvaginal mesh
Author(s) -
Ek Marion,
Tegerstedt Gunilla,
Falconer Christian,
Kjaeldgaard Anders,
Rezapour Masoumeh,
Rudnicki Martin,
Altman Daniel
Publication year - 2010
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.20811
Subject(s) - medicine , urinary incontinence , surgery , randomized controlled trial , urinary system , vagina , urinary retention , stress incontinence , surgical mesh , urology , anatomy , hernia
Aims To investigate the urodynamic effects of anterior vaginal wall prolapse surgery using either trocar guided transvaginal mesh or colporraphy. Methods A prospective, randomized multicenter trial enrolling 50 patients: 27 underwent anterior colporrhaphy and 23 anterior trocar guided transvaginal mesh. Urodynamic assessment was performed pre‐ and two months postoperatively. Results De novo stress urinary incontinence was significantly more common after trocar guided transvaginal mesh surgery compared to colporraphy. In comparison to baseline urodynamics, transvaginal mesh surgery resulted in a significant decrease in maximal urethral closing pressures (MUCP) whereas conventional anterior colporraphy had no significant effect on urodynamic parameters. Conclusion Trocar guided transvaginal mesh of anterior vaginal wall prolapse results in a lowering of MUCPs and increases the risk for de novo stress urinary incontinence compared to colporraphy. Neurourol. Urodynam. 29:527–531, 2010. © 2009 Wiley‐Liss, Inc.