Abstract
Currently, pelvic floor ultrasound allows us to correctly visualize the synthetic material used in stress urinary incontinence surgery. The objective of this study is the construction of a score and its correlation with the SUU clinic. During the study period, 81 patients with transobturator slings were studied using ultrasound. Through multivariate analysis, the statistically significant variables were the distance from the sling to the urethral wall (p = 0.004), the shape of the sling at rest (p = 0.003), and the symmetry of the mesh (p = 0.016). Through these variables, the construction of a score was carried out. Once the model was constructed, its internal validation was carried out to determine the discrimination capacity of patients who present clinical stress and those who do not, with an area under the curve of 0.848 (95% CI (0.72–0.97), p < 0.001). This simple score using three ultrasound variables serves to adequately and objectively discriminate patients who have successful surgery and absence of clinical effort.
Highlights
Urinary incontinence (UI) is a very frequent pathology with a prevalence of 37.1% in the world’s female population that can manifest at any age, increasing its frequency after the age of 50, seriously affecting the quality of life for patients [1].In 2010, the International Urogynecological Association (IUGA)/International Continence Society (ICS) published the standardization of terms defining urine incontinence (UI)as any involuntary loss of urine [2,3]
The objective of this study is the construction of a score through ultrasound parameters and its correlation with the clinical effort to be able to objectively and evaluate the success of the anti-incontinence surgical technique
We considered the success of anti-incontinence surgery in 65 (80%) patients with the absence of symptomatic Stress urinary incontinence (SUI)
Summary
Urinary incontinence (UI) is a very frequent pathology with a prevalence of 37.1% in the world’s female population that can manifest at any age, increasing its frequency after the age of 50, seriously affecting the quality of life for patients [1].In 2010, the International Urogynecological Association (IUGA)/International Continence Society (ICS) published the standardization of terms defining urine incontinence (UI)as any involuntary loss of urine [2,3]. Urinary incontinence (UI) is a very frequent pathology with a prevalence of 37.1% in the world’s female population that can manifest at any age, increasing its frequency after the age of 50, seriously affecting the quality of life for patients [1]. In 2010, the International Urogynecological Association (IUGA)/International Continence Society (ICS) published the standardization of terms defining urine incontinence (UI). As any involuntary loss of urine [2,3]. UI can be classified into three types: stress, ur-gency, or mixed. Stress urinary incontinence (SUI) is in response to increased in-tra-abdominal pressure, such as from coughing, laughing, sneezing, exercising, or weightlifting. Urge incontinence is the involuntary loss of urine associated with an urge for urination that is difficult to control. Mixed-type urine incontinence consists of a com-bination of the above types
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