Our experience of surgical treatment of recurrent urinary incontinence in women after the installation of a synthetic implant
- Authors: Suleymanov S.I.1,2, Pavlov D.A.1, Arakelov S.E.1,2, Baranov A.V.3, Babkin A.S.2
-
Affiliations:
- People’s Friendship University of Russia
- City Clinical Hospital No. 13 of the Moscow Healthcare Department
- A.I. Yevdokimov Moscow State University of Medicine and Dentistry
- Issue: Vol 12, No 4 (2022)
- Pages: 297-303
- Section: Original articles
- URL: https://journals.eco-vector.com/uroved/article/view/114769
- DOI: https://doi.org/10.17816/uroved114769
- ID: 114769
Cite item
Abstract
BACKGROUND: The article presents data on the frequency of recurrence of urinary incontinence in women after the installation of a synthetic implant, as well as methods for the surgical elimination of this pathology. The described urogynecological problem is relevant and widespread.
MATERIALS AND METHODS: The results of surgical treatment of 16 women with pelvic organ prolapse and recurrent urinary incontinence after sling operations are presented. All patients underwent laparoscopic colpovesicosuspension.
RESULTS: In the postoperative period positive dynamics was noted during the examination using the POP-Q system and the results of the questionnaire using the ICIQ-SF questionnaire, which was observed throughout the follow-up period of 12 months. Complications in the immediate and long-term postoperative period were not identified. For the entire period of observation of the patients, recurrence of prolapse was not observed in any case.
CONCLUSION: The proposed method of surgical treatment of recurrence of urinary incontinence in women with mesh implants is effective and safe.
Full Text
About the authors
Suleyman I. Suleymanov
People’s Friendship University of Russia; City Clinical Hospital No. 13 of the Moscow Healthcare Department
Author for correspondence.
Email: s.i.suleymanov@mail.ru
ORCID iD: 0000-0002-0461-9885
SPIN-code: 7168-8819
Scopus Author ID: 57080003900
Dr. Sci. (Med.), Professor of the Department of Endoscopic Urology, Faculty of Continuous Medical Education, Institute of Medicine; Head of the Urology Department
Russian Federation, Moscow; MoscowDmitriy A. Pavlov
People’s Friendship University of Russia
Email: dpavlov.doc@gmail.com
Cand. Sci. (Med.), Doctoral Candidate, Department of Endoscopic Urology, Faculty of Continuous Medical Education, Institute of Medicine
Russian Federation, MoscowSergey E. Arakelov
People’s Friendship University of Russia; City Clinical Hospital No. 13 of the Moscow Healthcare Department
Email: gkb13@gkb13.ru
ORCID iD: 0000-0003-3911-8543
SPIN-code: 4970-8419
Dr. Sci. (Med.), Professor, Head of the Department of Family Medicine with a Course in Palliative Care, Chief Physician
Russian Federation, Moscow; MoscowAlexey V. Baranov
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Email: aleksey-baranov@mail.ru
ORCID iD: 0000-0002-7995-758X
Dr. Sci. (Med.), Professor of the Department of Surgery and Surgical Technologies
Russian Federation, MoscowAlexander S. Babkin
City Clinical Hospital No. 13 of the Moscow Healthcare Department
Email: alexbabkin3004@mail.ru
ORCID iD: 0000-0003-1570-1793
Urologist
Russian Federation, MoscowReferences
- Suleymanov SI, Pavlov DA, Arakelov SE, et al. Principles of surgical treatment of mixed urinary incontinence in women. Gynecology, Obstetrics and Perinatology. 2022;21(1):59–66. (In Russ.) doi: 10.20953/1726-1678-2022-1-59-66
- Lukacz ES, Santiago-Lastra Y, Albo ME, Brubaker L. Urinary incontinence in women: a review. JAMA. 2017;318(16):1592–1604. doi: 10.1001/jama.2017.12137
- Abrams P, Cardozo L, Wein A. 3rd International Consultation on Incontinence — Research Society 2011. Neurourol Urodyn. 2012;31(3):291–292. doi: 10.1002/nau.22221
- Silaeva EA, Timoshkova YL, Atayants KM, et al. Epidemiology and risk factors for pelvic organ prolapse. Russian Military Medical Academy Reports. 2020;39(S3–1):161–163. (In Russ.)
- Ishchenko AI, Ishchenko AA, Khokhlova ID, et al. Promontofixation using titanium implant in patients with polyvalent allergy and combined gynecologic pathology. Gynecology, Obstetrics and Perinatology. 2021;20(4):170–173. (In Russ.) doi: 10.20953/1726-1678-2021-4-170-173
- Glazener CM, Cooper K, Mashayekhi A. Bladder neck needle suspension for urinary incontinence in women. Cochrane Database Syst Rev. 2017;7(7): CD003636. doi: 10.1002/14651858.CD003636.pub4
- Nechiporenko AN, Mihal’chuk ECh, Nechiporenko EA. Surgical correction of pelvic organ prolapse: rationale for the use of synthetic implants. Experimental and clinical urology. 2020;(1):130–135. (In Russ.) doi: 10.29188/2222-8543-2020-12-1-130-135
- Ishchenko AI, Aleksandrov LS, Ishchenko AA, et al. Mesh-ligature correction of posterior vaginal wall prolapse grade II–III using titanium mesh implants. Gynecology, Obstetrics and Perinatology. 2020;19(3):14–21. (In Russ.) doi: 10.20953/1726-1678-2020-3-14-21
- Capobianco G, Madonia M, Morelli S, et al. Management of female stress urinary incontinence: A care pathway and update. Maturitas. 2018;109:32–38. doi: 10.1016/j.maturitas.2017.12.008
- Snurnitsyna O, Glybochko P, Rapoport L, et al. Transvaginal repair of anterior and apical prolapse using OPUR6-strap mesh: five years of experience. J Urol. 2019;201(S-4):e14–e14. doi: 10.1097/01.JU.0000554922.25560.40
- Zhumanova EN, Koneva ES, Shapovalenko TV, et al. Non-drug technologies in comprehensive treatment of urinary incontinence in women. Physiotherapist. 2020;(1):64–77. (In Russ.) doi: 10.33920/med-14-2002-11
- Ford AA, Rogerson L, Cody JD, et al. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 2017;7(7): CD006375. doi: 10.1002/14651858.CD006375.pub4
- Loran OB, Seregin AV, Dovlatov ZA. Usage of POP-Q system in assessment of state of patients before and after corrections of pelvic prolapse. Journal of Siberian Medical Sciences. 2015;(5):27. (In Russ.)
- Patent RUS № 2721140/18.05.2020 г. Byul. № 14. Pavlov DA, Toporova VN. Sposob operativnogo lecheniya nederzhaniya mochi u zhenshchin. (In Russ.)