Transobturator tape prosedürü ile birlikte yapılan minimal invazif histerektominin ürolojik sonuçlara bir faydası var mıdır?

Amaç: Stress üriner inkontinans özellikle yaşlı populasyonda değinilmesi gereken önemli bir sorundur. Genellikle inkontinansa eş zamanlı veya başka bir operasyon ile düzeltilmesi gereken pelvik relaksasyon eşlik etmektedir. Bu çalışmada Trans Obturator Tape (TOT) uygulanması ile eş zamanlı yapılan minimal invazif histerektominin inkontinans üzerine bir fark oluşturup oluşturmayacağının görülmesi planlanmıştır. Gereç ve Yöntemler: Yalnızca stress inkontinansı olan 66 hasta çalışmaya dahil edilmiştir. Hastalar sadece TOT uygulaması veya histerektomi ve TOT uygulaması şeklinde gruplara ayrılmıştır. İnkontinans değerlendirilmesinde UDI-6 ve IIQ-7 testleri kullanılmıştır. Bulgular: TOT uygulaması sırasında yapılan minimal invazif histerektominin stress inkontinans üzerine ek bir faydası veya zararı görülmemiştir. Sonuç: Minimal invazif histerektomi TOT uygalamasına güvenle eşlik edebilir ancak TOT başarısına herhangi bir artış getirmemektedir.

Anahtar Kelimeler:

Transobtürator bant, Histerektomi, Minimal invazif cerrahi, Stres idrar kaçırma

Does minimally invasive hysterectomy add benefit for patients undergoing transobturator tape procedure

Objectives: Stress urinary incontinence is a severe problem needs to be addressed especially in elder patient population. Usually pelvic relaxation is an accompanying issue either corrected alone or concomittant with incontinence treatment. This study aimed to find out whether concomittant hysterectomy makes any difference in transobturator tape incontinence surgery outcomes.Material and Methods: This study included 66 patients with isolated stress urinary incontinence. Two groups formed either with transobturator tape placement alone or transobturator tape placement with minimally invasive hysterectomy. Treatment outcomes evaluated with UDI-6 and IIQ-7 questionnaires. Results: It is found that there is no additional benefit to urinary incontinence treatment with hysterectomy performed in same session with transobturator tape placement. Conclusion: Minimally invasive hysterectomy for pelvic relaxation surgery can be performed safely and knowing that it won’t change the outcomes of transobturator tape placement.

Keywords:

Transobturator tape, Hysterectomy, Minimally invasive surgery, Stress urinary incontinence,

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