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TVT-O nella terapia chirurgica dell'incontinenza urinaria da stress: efficacia e follow-up

Micelli, Sara Feliciana (2014) TVT-O nella terapia chirurgica dell'incontinenza urinaria da stress: efficacia e follow-up. Doctoral Thesis.

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Abstract

Aim: Research suggests that midurethral sling placement may have a beneficial effect on urgency (U) and urge urinary incontinence (UUI). This study examined short term U/UUI outcomes in patients undergoing TVT Abbrevo placement.
Methods: Fifty-six patients undergoing TVT-Abbrevo placement were prospectively assessed using 3 day bladder diary, combined with multiple validated incontinence questionnaires focusing on UUI , U and KHQ (King’s Health Questionnaire).
Results: At 24 months assessment, improvements in daily pad use (4.6 to 1.6) and incontinence episodes (4.4 to 1.0) were seen (p < 0.05, both comparisons). All patients reported cure of stress incontinence. Focused outcome scores for UUI improved from 1.6 to 0.3 (p value <0.003).
Similary, mean Urinary Perception Score improved from 9.5 to 6.1 (p value < 0.001). Patients did not require anticholinergics postoperatively.
Conclusions: TVT Abbrevo placement was associated with cure/improvement in a significant proportion of patients. In addition, significant improvement in QoL was seen following TVT Abbrevo placement.

Item Type:Doctoral Thesis
ID Code:9328
Contributors:Dessole, Salvatore
Publisher:Università degli studi di Sassari
Uncontrolled Keywords:TVT-O, stress, incontinence
Subjects:Area 06 - Scienze mediche > MED/40 Ginecologia e ostetricia
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Biomediche
Cicli, scuole e corsi:Ciclo 26 > Scienze biomediche > Scienze Uroginecologiche di fisiopatologia del pavimento pelvico ed infertilità maschile
Deposited On:01 Apr 2014 11:21

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