Autolougus rectus sheeth graft vs four armed synthetic mesh in management of cyctocele with stress urinary incontinence and its effect on sexual function in sexually active females

Elkholy, M.M.; Ibrahim, M.A.; El Shaer, W.E.; Othman, T.S.; El Hamshary, S.A.

doi:10.21608/bjas.2021.188874

Autolougus rectus sheeth graft vs four armed synthetic mesh in management of cyctocele with stress urinary incontinence and its effect on sexual function in sexually active females

Document Type : Original Research Papers

Authors

Urology, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

10.21608/bjas.2021.188874

Abstract

The most prevalent chronic illnesses in women are pelvic organ prolapse and urine incontinence. These are prevalent problems that are uncertain about pathophysiology. With the increasing life expectancy, considerably more women today have a pelvic organ prolapse and urine incontinence, which requires surgery. The chance of prolapse or a continent operation is now one in 11 for every lifetime and up to 30 percent of patients will need repeated reconstructive surgery and 10 percent repeated incontinence surgery. A variety of synthetic and biological prosthetics were created to better the surgical results and to retain the vaginal capacity and coital function. This investigation was carried out in 80 women with stress incontinence and cystocele. The primary results of the research showed that: The mean age of the patients investigated was 42.2, mean BMI 28 kg/m2. Middle parity was two children, median NVD was two ranged from 1 to 5, median CS was one, premenopausal was 0 to 2, 58.8 per cent and postmenopausal were 41.3 per cent. All patients were tested for positive cough. The median POP-Q of 2,5, median ICIQ of 15, median FSFI of 10,3, mean Q-max of 19,8, and mean PVRU of 20. The average age of group I was 42.3 years, whereas group II was 42.1 years, with no significant difference. Furthermore, no significant variations in BMI, vaginal delivery, CS, menopause were detected between groups I and II. All patients were tested for positive cough.

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