Postoperative Evaluation of Patients Operated with the New Technique for Stress Urinary Incontinence - Review Article - Volume 8 Issue 2

Oct 28, 2026

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Objectives: Introduce a new perspective on stress urinary incontinence surgery and assess postoperative recovery after a new surgical technique. Materials and Methods: 300 female patients with urodynamically diagnosed stress incontinence (2013-2023) underwent preoperative evaluation (history, exam, stress test, 1-hour pad test, urine culture, 7-day diary, residual urine, urodynamics) and postoperative complication-focused assessment. SPSS v26 was used for statistical analysis. Results: Mean age 46.19; 98% success rate with significant improvements across stress and pad tests. Conclusion: Demonstrates high effectiveness and safety for stress incontinence treatment.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages8

Reading Time20 min

AccessFree to download

Abstract

Introduction

Materials and Methods

Place and Time of Research

Research Population and Sample

Study Design

Results

Conclusion

MEDWIN PUBLISHERS Women’s Health Science Journal ISSN: 2639-2526 Committed to Create Value for Researchers Postoperative Evaluation of Patients Operated with the New Technique for Stress Urinary Incontinence Kaplan I* Department of Obstetrics and Gynecology, Uşak University, Turkey *Corresponding author: Isa Kaplan, Uşak University, Department of Obstetrics and Gynecology, Uşak, Turkey, Email: [isakaplan_48@hotmail.com](isakaplan_48@hotmail.com) Review Article Volume 8 Issue 2 Received Date: December 09, 2024 Published Date: December 27, 2024 DOI: 10.23880/whsj-16000237 Abstract Objectives: Our study aims to bring a new perspective to stress urinary incontinence surgery. Material and Methods: 300 female patients diagnosed with stress incontinence urodynamically between January 2013 and 2023 were included in the study. The complete recovery status of the patients after the operation was examined. Our study is based on a new surgical technique. Preoperative evaluation included history, physical examination, stress test, 1-hour pad test, urine culture, 7-day voiding diary, residual urine measurement, and urodynamic examination. In postoperative evaluation, intraoperative and postoperative complications such as stress test, 1-hour pad weighing test, operation time, urinary tract infection, urination problems, de novo urgency symptoms, and urinary retention were taken into consideration. SPSS (IBM SPSS for Windows, Ver.26) statistical package program was used for the statistical analysis of our study. Results: The average age of the patients is 46.19. The average duration of stress incontinence in patients is 6.85 years. Incontinence was observed in 6 patients after the operation. Complete cure was achieved in 294 of the patients and it was found to be statistically significant (p=0.000) . The success rate of the method was found to be 98% in our study. The changes in the stress test and Q-type test results before and after the operation were found to be statistically significant (p=0.000) . The changes detected in the postoperative pad test were found to be statistically significant (p=0.004). Urinary retention was observed in 12 patients due to the operation. Conclusion: The success of our operation is quite high compared to the literature. It is an effective and safe method in the treatment of stress incontinence. Keywords: Incontinence; Stress Incontinence; Surgical Treatment; Urogynecology Abbreviations AUA: American Urological Association; MMK: Marshall Marchetti Krantz; BMI: Body mass index; TVT: Tensionfree tapes; MUS: Mid-urethral slings; FDA: Food and Drug Administration. Introduction Urinary incontinence is defined by the International Continence Society as ‘involuntary loss of urine that is a social or hygienic problem’. In community studies, it is estimated that 20-30% of women are affected, but only 7-12% perceive it as a problem [1] . Postoperative Evaluation of Patients Operated with the New Technique for Stress Urinary Incontinence Womens Health Sci J 2 Women’s Health Science Journal Stress urinary incontinence treatment was updated again by the American Urological Association (AUA) in the panel convened in 2011, by evaluating large meta-analyses [2] . Accordingly, the first step of stress incontinence treatment is conservative treatments consisting of behavioral treatments, drug therapy, and pelvic floor exercises. For patients who cannot benefit from this step, the most appropriate alternative for the patient should be chosen among surgical treatment options. Surgical methods used today in the treatment of stress incontinence are retropubic suspensions (open and laparoscopic Burch operation), sling operations, of which many types have been described, periurethral injections, and artificial urinary sphincter applications [2] . The most well-known retropubic urethropexy procedures are Marshall Marchetti Krantz (MMK) and Burch operations. MMC cystourethropexy

FAQs

What was the study objective regarding stress urinary incontinence surgery?

The study aimed to provide a new perspective on stress urinary incontinence surgery and evaluate postoperative recovery after a new surgical technique.

Which preoperative and postoperative assessments were used?

Preoperative evaluation included history, physical exam, stress test, 1-hour pad test, urine culture, 7-day voiding diary, residual urine measurement, and urodynamic examination. Postoperative evaluation considered complications and functional outcomes using stress testing and pad-related measures, along with complication monitoring.

What were the main results and success rate reported?

The method showed a 98% success rate, with complete cure in 294 patients. Incontinence and several test outcomes changed significantly after operation, while urinary retention occurred in 12 patients.

Oct 28, 2026

Upload by Damian