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Transvaginal Retropubic Urethropexy Versus Pubovaginal Sling for Treatment of Postrepair Urinary Incontinence

Okunola, Temitope Omoladun MB, BS*; Yakubu, Emmanuel MB, BS; Daniyan, Babafemi MB, BS; Ekwedigwe, Kenneth MB, BS; Eliboh, Monday MB, BS; Sunday-Adeoye, Ileogben MB, BS

Female Pelvic Medicine & Reconstructive Surgery: October 12, 2018 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/SPV.0000000000000626
Original Article: PDF Only
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Objectives The aim of this study was to compare the success rates of transvaginal retropubic urethropexy with fascia lata pubovaginal sling (PV sling) for treatment of postrepair urinary incontinence at a fistula center in Nigeria.

Methods This was a retrospective review of 60 patients who had transvaginal retropubic urethropexy and 46 patients who had PV sling on account of postrepair incontinence at National Obstetric Fistula Centre, Abakaliki, Nigeria, between January 2014 and December 2016. Data were retrieved from the hospital records. Success was defined as negative urinary stress test at 3 months after repair. Data were analyzed with SPSS version 20, and P value <0.05 was taken as statistically significant. χ2 was used to determine the association between the procedures and success rate.

Results The success rate of transvaginal retropubic urethropexy versus PV sling was 53.3% versus 82.6% (χ2 = 9.95, P = 0.02). Complications occurred in 13.2%.

Conclusions In conclusion, the efficacy of the fascia lata PV sling was more than that of transvaginal retropubic urethropexy for postrepair urinary incontinence. Urodynamic assessments need to be incorporated into management of these women for better patient's selection for each procedure.

From the *Department of Obstetrics and Gynaecology, State Specialist Hospital, Ikere-Ekiti; and

National Obstetric Fistula Centre, Abakaliki, Nigeria.

Correspondence: Temitope Omoladun Okunola, MB, BS, Department of Obstetrics and Gynaecology, State Specialist Hospital, Ikere-Ekiti, Nigeria. E-mail: bezaleelokunola@yahoo.com.

The authors have declared no conflicts of interest.

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