Resumen

MADAIL ALAYON, Angélica María et al. Tratamiento de la incontinencia urinaria de esfuerzo con cinchas suburetrales: experiencia en el Hospital Universitario de Caracas. Rev Obstet Ginecol Venez [online]. 2014, vol.74, n.2, pp.112-121. ISSN 0048-7732.

Objective: To describe the experience of stress urinary incontinence treatment with slings in the Unidad de Patologia de Piso Pelvico of the Hopital Universitario de Caracas. Methods: Retrospective, descriptive study. We included patients with clinical and urodinamic urinary incontinence who were treated with transobturator slings and minislings between January 2010 and December 2011, and had a follow up of 12 months (N = 81). Results: The average age was 54,96 years old, average body mass index was 27.6 kg/m2 and 77.7 % had pelvic organ prolapse. Type I urinary incontinence was the most frequent (45.7 %). Most of the patients were treated with transobturators slings (76.5 %), and 23.5 % with minislings. The most frequent complication was lower urinary tract infection (17.7 %), followed by de novo urgency (16.1 %), and vaginal erosion (8 %). A 7 % of recurrence was observed. The objective cure was 93 % and the subjective cure ranged between 93.8 % and 100 % during 1 year follow up in the slings group. In de minisling’s group the subjective cure ranged between 50 % and 100 %. Conclusion: The treatment of stress urinary incontinence with transobturators slings and minislings resulted satisfactory due to the low risk of complications and few recurrences.

Palabras clave : Stress urinary incontinence; Sub-urethral slings; Minisling.

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