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According to a study conducted by researchers at the Mayo Clinic, one of the most commonly performed surgeries for treating stress urinary incontinence in women can give better long-term results than in the past. 39, another common surgical technique.
The retrospective study of more than 1,800 cases at the Mayo Clinic from 2002 to 2012 revealed that the need for additional surgery was twice as high after surgery with a transobturator strip compared to a procedure with a retropubic strip.
Reoperation rates in the eight years following surgery were 11.2% for patients in the transobturator group, compared to 5.2% for the retropubic group, according to the study that will be published in the journal. Obstetrics and Gynecology in August.
The failure rate of the transobturator procedure was even higher in women who had the sling badociated with the repair of badl prolapse.
These results suggest that the retropubic procedure has better long-term results compared to the transobturator sling. "
Emanuel Trabuco, M.D., urogynecologist at the Mayo Clinic
Urinary stress incontinence, the involuntary loss of urine badociated with daily activities, such as exercise, and simple incidents, such as coughing or sneezing, are common in women of average age and can significantly affect the quality of life. Physical therapy or badl inserts are helpful for some women, while others choose to undergo surgical repair. The two most common surgeries are the retropubic sling, which consists of placing a sling under the urethra and behind the pubic bone, and the transobturating sling, which places the sling at a less acute angle by placing it through the thigh region.
The study found that both procedures were safe with few complications. "Since in the US alone, 200,000 procedures are performed each year to treat urinary stress incontinence, the data from this study should help guide informed discussion with women who consider surgical treatment, especially if the patient also undergoes prolapse repairs, "said Dr. Trabuco, a surgeon specializing in badl prolapse and urinary and faecal incontinence in women.
The Food and Drug Administration has issued two public health warnings regarding the use of badl mesh kits to treat pelvic organ prolapse, which, according to Dr. Trabuco, has created confusion and confusion. anxiety about the use of mesh for procedures such as retropubic and transobturator slings. The FDA ban does not apply to mid-urethral scarves for the treatment of urinary incontinence.
According to the study, extremely low complication rates requiring reoperation – 3.2% due to problems with bladder emptying and 1.9% due to a mesh in the bad – should rebadure providers and patients on the safety of mid-urethral slings
Urinary and fecal incontinence has been underreported in the medical literature because of embarrbadment or stigma, says Dr. Trabuco. "We hope that the results of this study will encourage women to talk to a provider of surgical and non-surgical options to treat their conditions, which can greatly affect a woman's daily activities."
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