Article ID Journal Published Year Pages File Type
3968860 Progresos de Obstetricia y Ginecología 2012 5 Pages PDF
Abstract

ResumenObjetivoDescribir las características de las pacientes a las que se indica esta técnica, y valorar los resultados asociados.Sujetos y métodosSe incluyeron todas las pacientes (162) intervenidas con esta técnica entre junio del 2005 y diciembre del 2010 en el Hospital Universitario de Fuenlabrada.ResultadosCaracterísticas medias: edad, 51,64 años; IMC, 28,92 kg/m2, y 2,31 partos vaginales.Diagnóstico urodinámico en el 96,3%: incontinencia de esfuerzo pura en el 68,5% y mixta de predominio de esfuerzo del 25,9%. Complicaciones intraoperatorias: 3,1%; 1,2% de erosiones de malla. Porcentaje de curación global objetivo, 92%, y subjetivo, 80,3%.ConclusionesBajo porcentaje de complicaciones, todas ellas resueltas. Porcentajes de curación altamente satisfactorios, tanto en la incontinencia urinaria de esfuerzo pura como en mixtas de predominio de esfuerzo. La urodinamia previa a la cirugía permite realizar buenas indicaciones quirúrgicas y orientar sobre el pronóstico de la intervención.

ObjectiveTo describe the characteristics of treated patients and assess the results obtained.Subjects and methodsAll patients (n = 162) who underwent this technique between June 2005 and December 2010 at the Hospital de Fuenlabrada were included.ResultsThe mean age was 51.64 years, mean body max index was 28.92 kg/m2 and the mean number of vaginal deliveries was 2.31. Urodynamic diagnosis was performed in 96.3%, with findings of pure stress incontinence in 68.5%, mixed incontinence and stress incontinence in 25.9%. Intraoperative complications occurred in 3.1%. Mesh erosions were found in 1.2%. The overall objective cure rate was 92% and the subjective cure rate was 80.3%.ConclusionsThe complications rate was low and all complications were resolved. Cure rates were highly satisfactory both in pure stress urinary incontinence and in mixed urinary incontinence with a predominance of stress incontinence. Urodynamic studies before surgery allow good surgical indications and guide postsurgical prognosis.

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Health Sciences Medicine and Dentistry Obstetrics, Gynecology and Women's Health
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