Volume 2, Issue 2 (Spring 2018)
J Res Urol 2018, 2(2): 7-10 |
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1- Professor of Urology and Nephrology Research Center, Hamadan University of Medical Sciences, Hamadan, Iran, Professor of Urology and Nephrology Research Center, Hamadan University of Medical Sciences, Hamadan, Iran , dr_Amirzargar@yahoo.com
2- Associate Professor, Endometrium and Endometriosis Research Center, Hamadan University of Medical Sciences, Hamadan, Iran, Associate Professor, Endometrium and Endometriosis Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
3- MSc, member of Urology and Nephrology Research Center, Hamadan University of Medical Sciences, Hamadan, Iran, MSc, member of Urology and Nephrology Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
2- Associate Professor, Endometrium and Endometriosis Research Center, Hamadan University of Medical Sciences, Hamadan, Iran, Associate Professor, Endometrium and Endometriosis Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
3- MSc, member of Urology and Nephrology Research Center, Hamadan University of Medical Sciences, Hamadan, Iran, MSc, member of Urology and Nephrology Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract: (5154 Views)
Background and aim: Despite surgical procedures for the treatment of urinary incontinence (SUI) in surgery, sling laparoscopy is known as a high-performance gold standard method. For the first time, in the present study, the efficacy of conventional laparoscopy was compared to Laparoscopy with Assistive Finger in women with SUI.
Materials and Methods: Twenty-four patients with SUI between 2008 -2010, who did not respond to routine drugs and cystocele repair were selected for standard laparoscopy. 18 patients with homogeneous age and gender where placed in the assistive finger technique group. In 1 year, two groups were followed up for improvement of symptoms, relapse, leakage rate and overall satisfaction of patients.
Results: In the undergoing conventional sling laparoscopy group of treated patients (21 patients), 6 patients experienced relapse of disease symptoms. 3 patients, although the symptoms were partially removed, still had the leakage problem. Two patients, despite conducting cystoscopic controlling, nylon thread was passed into the bladder and ignored. Besides, in finger assisted technic, all studied patients were satisfied with the treatment. In the latter group, leakage was appeared mildly in those with high body mass index by decreasing body weight. Two patients also experienced urinary retention that was disappeared after 3 days of CIC.
Conclusion: Finger-assisted laparoscopic technic is accompanied with lower relapse and higher rate of symptoms removing; thus this technic is preferred to conventional method in management of SUI.
Materials and Methods: Twenty-four patients with SUI between 2008 -2010, who did not respond to routine drugs and cystocele repair were selected for standard laparoscopy. 18 patients with homogeneous age and gender where placed in the assistive finger technique group. In 1 year, two groups were followed up for improvement of symptoms, relapse, leakage rate and overall satisfaction of patients.
Results: In the undergoing conventional sling laparoscopy group of treated patients (21 patients), 6 patients experienced relapse of disease symptoms. 3 patients, although the symptoms were partially removed, still had the leakage problem. Two patients, despite conducting cystoscopic controlling, nylon thread was passed into the bladder and ignored. Besides, in finger assisted technic, all studied patients were satisfied with the treatment. In the latter group, leakage was appeared mildly in those with high body mass index by decreasing body weight. Two patients also experienced urinary retention that was disappeared after 3 days of CIC.
Conclusion: Finger-assisted laparoscopic technic is accompanied with lower relapse and higher rate of symptoms removing; thus this technic is preferred to conventional method in management of SUI.
Keywords: Stress Urinary Incontinence, Sling laparoscopy
Type of Study: Research |
Subject:
Urogynecology - Female urology
Received: 2018/06/11 | Accepted: 2018/08/27 | Published: 2018/08/27
Received: 2018/06/11 | Accepted: 2018/08/27 | Published: 2018/08/27
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