학술논문
The impact of vaginal cone therapy on stress urinary incontinence compared with transobturator tape/Stres uriner inkontinans tedavisinde vajinal koni terapisinin etkinliginin transobturator tape ile karsilastirilmasi
Clinical Investigation / Arastirma
Clinical Investigation / Arastirma
Document Type
Clinical report
Author
Source
Turkish Journal of Obstetrics and Gynecology. September 2019, Vol. 16 Issue 3, p169, 5 p.
Subject
Language
English
ISSN
2149-9322
Abstract
Introduction Stress urinary incontinence (SUI) is an involuntary leakage of urine during an exerted effort, exertion, sneezing, or coughing (1). Approximately 50% of patients diagnosed with urinary incontinence have SUI [...]
Objective: To emphasize the efficiency of vaginal cone (VC) therapy in stress urinary incontinence (SUI) through a comparison with transobturator tape (TOT). Materials and Methods: A prospective randomized controlled study was conducted at the Etlik Zubeyde Hanim Maternity and Women Hospital during a one year study period. Forty women were allocated into two equal groups; those treated with VCs for a 3 month period, and women who underwent TOT procedures. These women were followed up at 6 weeks and 6 months after the treatments. Subjective cure was assessed using Wagner's Quality of Life Questionnaire. Objective cure was evaluated through a cough stress and pad test results. Results: Maternal demographic features were comparable among groups. We observed improvement in pad weight test among groups when compared with the pretreatment state (p=0.015, p=0.005). Although the subjective cure rate was similar in both groups at the 6th week and 6th month follow up (65% vs. 75%; 75% vs. 80%) (p>0.05), the objective cure rate was significantly higher in the TOT group than in the VC group, as expected (10% vs. 80%; 30% vs. 75%) (p Conclusion: The main treatment of SUI is surgery; however, VC could be offered as an alternative treatment for women who refuse surgery, those at high risk for surgery or it could be used temporarily before surgery. Keywords: Stress urinary incontinence, vaginal cone therapy, transobturator tape, conservative treatment Amac: Stres uriner inkontinans (SUI) tedavisinde vajinal koni (VK) terapisinin etkinliginin transobturator tape (TOT) ile karsilastirilmasidir. Gerec ve Yontemler: Bir yillik donemde, Etlik Zubeyde Hanim Kadin Hastaliklari Hastanesi'nde prospektif randomize kontrollu bir calisma yapildi. Kirk kadin iki gruba ayrildi; bunlarin yirmisi vajinal koni ile uc ay boyunca tedavi edilirken, kalan 20 kisi transboturator tape operasyonu ile tedavi edildi. Bu kadinlar tedaviden sonra 6. hafta ve 6. ay kontrolleri ile takip edildi. Subjektif iyilesme, Wagner'in Yasam Kalitesi Anketi ile degerlendirildi. Objektif iyilesme ise oksuruk stres ve ped testi sonuclari ile degerlendirildi Bulgular: Maternal demografik ozellikler acisindan gruplar arasinda fark yoktu. Gruplar arasinda ped testinde, tedavi oncesi durumla karsilastirildiginda iyilesme gozlendi (p=0,015 p=0,005). Her iki grupta subjektif iyilesme orani, 6. hafta ve 6. ay kontrolunde benzer olmasina ragmen (%65 vs %75; %75 vs %80) (p>0,05), objektif iyilesme orani, beklendigi gibi, TOT grubunda VK grubundan anlamli derecede yuksekti (%10 vs %80; %30 vs %75) (p Sonuc: SUI'nin ana tedavisi cerrahidir; bununla birlikte VK, cerrahiyi reddeden veya ameliyat riski yuksek olan kadinlar icin alternatif bir tedavi olarak sunulabilir ya da cerrahi oncesi gecici olarak kullanilabilir. Anahtar Kelimeler: Stres uriner inkontinans, vajinal koni tedavisi, transobturator tape, konservatif tedavi
Objective: To emphasize the efficiency of vaginal cone (VC) therapy in stress urinary incontinence (SUI) through a comparison with transobturator tape (TOT). Materials and Methods: A prospective randomized controlled study was conducted at the Etlik Zubeyde Hanim Maternity and Women Hospital during a one year study period. Forty women were allocated into two equal groups; those treated with VCs for a 3 month period, and women who underwent TOT procedures. These women were followed up at 6 weeks and 6 months after the treatments. Subjective cure was assessed using Wagner's Quality of Life Questionnaire. Objective cure was evaluated through a cough stress and pad test results. Results: Maternal demographic features were comparable among groups. We observed improvement in pad weight test among groups when compared with the pretreatment state (p=0.015, p=0.005). Although the subjective cure rate was similar in both groups at the 6th week and 6th month follow up (65% vs. 75%; 75% vs. 80%) (p>0.05), the objective cure rate was significantly higher in the TOT group than in the VC group, as expected (10% vs. 80%; 30% vs. 75%) (p Conclusion: The main treatment of SUI is surgery; however, VC could be offered as an alternative treatment for women who refuse surgery, those at high risk for surgery or it could be used temporarily before surgery. Keywords: Stress urinary incontinence, vaginal cone therapy, transobturator tape, conservative treatment Amac: Stres uriner inkontinans (SUI) tedavisinde vajinal koni (VK) terapisinin etkinliginin transobturator tape (TOT) ile karsilastirilmasidir. Gerec ve Yontemler: Bir yillik donemde, Etlik Zubeyde Hanim Kadin Hastaliklari Hastanesi'nde prospektif randomize kontrollu bir calisma yapildi. Kirk kadin iki gruba ayrildi; bunlarin yirmisi vajinal koni ile uc ay boyunca tedavi edilirken, kalan 20 kisi transboturator tape operasyonu ile tedavi edildi. Bu kadinlar tedaviden sonra 6. hafta ve 6. ay kontrolleri ile takip edildi. Subjektif iyilesme, Wagner'in Yasam Kalitesi Anketi ile degerlendirildi. Objektif iyilesme ise oksuruk stres ve ped testi sonuclari ile degerlendirildi Bulgular: Maternal demografik ozellikler acisindan gruplar arasinda fark yoktu. Gruplar arasinda ped testinde, tedavi oncesi durumla karsilastirildiginda iyilesme gozlendi (p=0,015 p=0,005). Her iki grupta subjektif iyilesme orani, 6. hafta ve 6. ay kontrolunde benzer olmasina ragmen (%65 vs %75; %75 vs %80) (p>0,05), objektif iyilesme orani, beklendigi gibi, TOT grubunda VK grubundan anlamli derecede yuksekti (%10 vs %80; %30 vs %75) (p Sonuc: SUI'nin ana tedavisi cerrahidir; bununla birlikte VK, cerrahiyi reddeden veya ameliyat riski yuksek olan kadinlar icin alternatif bir tedavi olarak sunulabilir ya da cerrahi oncesi gecici olarak kullanilabilir. Anahtar Kelimeler: Stres uriner inkontinans, vajinal koni tedavisi, transobturator tape, konservatif tedavi