PREVALENCIA Y FACTORES DE RIESGO DE SÍNTOMAS DEL TRACTO URINARIO INFERIOR POST SACROCOLPOPEXIA ROBÓTICA

Salinas-Casado Jesús, Moreno-Sierra Jesús, Vírseda-Chamorro Miguel

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Archivos Españoles de Urología ›› 2021, Vol. 74 ›› Issue (5) : 494-502.
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PREVALENCIA Y FACTORES DE RIESGO DE SÍNTOMAS DEL TRACTO URINARIO INFERIOR POST SACROCOLPOPEXIA ROBÓTICA

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Abstract

OBJECTIVES: To analyse the outcomes of Robotic Sacrocolpopexy (RSC) on resolution of Lower urinary tract Symptoms (LUTS) associated to pelvic organ prolapses (POP) and to determine the risk factors for pre-operative LUTS presence. MATERIAL AND METHODS: A longitudinal study was carried out on 51 females mean aged (± standard deviation) 66 ± 9 years, who underwent RSC. A preoperative evaluation was made on the degree and type of POP, and the presence of the LUTS stress urinary incontinence (SUI), urgency and voiding difficulty. An urodynamic study was also performed. The presence of LUTS was evaluated again six months after being operated on. The statistical test used were the Mcnermar test for dependent variables, the Fisher’s exact test and the t Student’s mean comparison test. The signification level was set at p < 0.05 bilaterally. RESULTS: A significate decrease of postoperative SUI and voiding difficult was observed. However, urgency did not significantly diminish. Transobturatice free-tension mesh ( TOT) implementation in patients with evident or occult (with POP reduction) urodynamic SUI significantly decreased the prevalence of symptomatic SUI. The only significate risk factor was the preoperative presence of urgency regarding its postoperative prevalence. CONCLUSIONS: Robotic sacrocolpopexy significantly improves postoperative voiding difficult. TOT implement in patients with positive POP reduction test is useful to prevent postoperative symptomatic SUI.

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Pelvic organ prolapse / Robotic sacro-colpopexy / Lover urinary tract symptoms / Transobturatrice free-tension mesh / Stress urinary incontinence

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Salinas-Casado Jesús , Moreno-Sierra Jesús , Vírseda-Chamorro Miguel. PREVALENCIA Y FACTORES DE RIESGO DE SÍNTOMAS DEL TRACTO URINARIO INFERIOR POST SACROCOLPOPEXIA ROBÓTICA. Archivos Españoles de Urología. 2021, 74(5): 494-502

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