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Tables in Original article by JESÚS ROMERO MAROTO (*) - MANUEL ORTIZ GORRAIZ (*) - LUIS GÓMEZ PÉREZ (*) - JUAN J. PACHECO BRU (*) - CRISTÓBAL LÓPEZ LÓPEZ (*) - JUAN J. MIRALLES BUENO (**)

Retropubic urethrolysis and tape sectioning for obstruction following incontinence surgery.
Long-term results


(*) Department of Urology, San Juan de Alicante University Hospital, Alicante, Spain
(**) Department of Public Health, Miguel Hernandez University, San Juan de Alicante University Hospital, Alicante, Spain

Tables reproduction prohibited without permission of Authors.

(Table 1)

Parameter

Previously SUI surgery

Later SUI surgery

 

Group I

Group II

Group III

Group IV
Urgency
(n, %)

4 (44%)

4 (40%)

8 (88%)

9 (90%)
Urge urinary incontinence
(n, %)

2 (22%)

3 (30%)

7 (77%)

8 (80%)
Daytime frecuency of urination
(h)†

2±1.4

1.8±0.7

1.5±1.3

1.8±1
Hesitancy
(n, %)

0

0

4 (44%)

7 (70%)
Straining
(n, %)

0

0

7 (77%)

9 (90%)
Frank retention
(n, %)

0

0

1 (11%)

1 (10%)
Urethral overcorrection on physical exam
(n, %)

0

0

9 (100%)

9 (90%)
Urethral angulation on cystoscopy
(n, %)

0

0

9 (100%)

10 (100%)
Stress incontinence on physical exam
(n, %)

9 (100%)

10 (100%)

0

0
Qmax (ml/s)†

20.3±7.5

18±6.2

11.5±5.3

9.5±3.6
Vu (ml)†

289.6±77.6

341.3±91.7

175.8±58.5

202.7±88.7
Vr over 100 ml (n, %)

0

0

3 (33%)

7 (70%)
Pdet.Qmax (cmH2O)†

–

–

44.7±4.3

38.3±18.1

Qmax: maximum flow rate; Vu: voided volume; Vr: residual volume; Pdet.Qmax: detrusor pressure at maximum flow; † Median ± SD; Group I: conventional surgery (n =9 ); Group II: tension-free vaginal tape (n = 10).

Table 1. – Clinical characteristics and urodynamic parameters previously and later SUI surgery.


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(Table 2)

Parameter

Six months postoperative
visit

Current postoperative
visit

value of
P‡
 

Group I

Group II

Group I

Group II

 
Eradication of urgency
(n, %)

1 (12%)

6 (66%)

0

7 (77%)

0.001
Improved urgency
(n, %)

7 (87%)

3 (33%)

7 (87%)

2 (22%)

–
Persistent urge urinary incontinence (n, %)

5 (71%)

3 (37%)

6 (75%)

2 (25%)

0.001
Daytime frequency of urination
(h)†

2±0.7

2.8±0.4

2.3±0.8

3.2±0.6

0.038
Eradication of hesitancy
(n, %)

4 (100%)

6 (85%)

4 (100%)

6 (85%)

n.s.
Eradication of straining
(n, %)

6 (85%)

7 (77%)

6 (85%)

8 (88%)

n.s.
Frank retention
(n, %)

0

0

0

0

n.s.
Stress incontinence on physical exam (n, %)

1 (11%)

3 (30%)

1 (11%)

3 (30%)

n.s.
Qmax (ml/s)†

12.4±7.8

21±9.3

15±6.1

20.2±9.3

0.014
Vu (ml)†

219.5±93.5

216.3±85.8

234.5±99.6

234.5±99.6

n.s.
Vr over 100 ml (n, %)

0

0

0

0

n.s.

Qmax: maximum flow rate; Vu: voided volume; Vr: residual volume; † Median ± SD; ‡ Comparison of both groups at current postoperative visit; Group I: conventional surgery (n =9 ); Group II: tension-free vaginal tape (n = 10).

Table 2. – Clinical characteristics and urodynamic parameters later urethrolysis and tape section.


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(Table 3)

Questionnaire

Score / Scale

Group I
(n, %)

Group II
(n, %)

SUIQ
Stress urinary incontinence
(weekly episodes)
0
< 5
5-15
>15

8 (88%)
0
1 (11%)
0

8 (88%)
0
1 (11%)
0
 
Urge urinary incontinence
(weekly episodes)
0
< 5
5-15
>15

0
6 (66%)
1 (11%)
2 (22%)

5 (50%)
1 (10%)
4 (40%)
0
I-QOL
86-100
71-85
56-70
0-55
 3 (33%)
1 (11%)
0
5 (55%)		 5 (55%)
3 (30%)
1 (10%)
1 (10%)
PGI-I
Greatly improved
Sufficiently improved
Slightly improved
Unchanged
Worse
 2 (22%)
3 (33%)
3 (33%)
1 (11%)
0
 4 (40%)
3 (30%)
3 (33%)
3 (30%)
0

SUIQ: Stress and Urge Incontinence Questionnaire; I-QOL: Incontinence Quality of Life Questionnaire; PGI-I: Patient Global Impression of Improvement.

Table 1. – Postoperative questionnaires results.


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