Does Pharmacological Treatment Reduce the Incidence of Lower Urinary Tract Symptoms (LUTS) after Transobturator Sling?
Joint Authors
Miotła, Paweł
Rechberger, Tomasz
Wrobel, Andrzej
Zietek, Alicja
Rechberger, Ewa
Kulik-Rechberger, Beata
Bogusiewicz, Michal
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-03-06
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Aim.
Lower urinary tract symptoms (LUTS) frequently affect patients immediately after midurethral sling (MUS) placement.
The objective of the study was to assess if solifenacin or mirabegron decreases incidence of LUTS in women who underwent transobturator MUS.
Methods.
A prospective randomized trial was conducted on patients undergoing ambulatory transobturator midurethral sling due to stress urinary incontinence (SUI).
All participants were questioned before and after surgery for occurrence of bothersome LUTS.
A total of 328 patients who underwent transobturator MUS were randomly assigned to one of three groups: prophylaxis with 10 mg of solifenacin, prophylaxis with 50 mg of mirabegron, or without any additional treatment.
LUTS evolution and efficacy of solifenacin and mirabegron were analyzed based on results of assessments made during follow-up visits at 1 and 6 weeks after surgery.
Comparison of the prevalence of LUTS was done using chi2 test.
Results.
Prevalence of urgency and frequency episodes increased notably 1 week after sling placement and then came down to baseline levels.
Solifenacin and mirabegron significantly reduced the incidence of urgency after 1 week, but after 6 weeks the beneficial effect was observed only in case of solifenacin.
Treatment with mirabegron reduced the percentage of patients suffering from frequency after 6 weeks.
Although prevalence of nocturia did not raise after sling placement, both treatments significantly reduced the incidence of this complaint after 6 weeks.
Pharmacological treatment did not modulate the course of hesitancy and terminal dribbling.
Conclusions.
Treatment with solifenacin or mirabegron may significantly reduce the incidence of undesired LUTS after MUS.
American Psychological Association (APA)
Rechberger, Tomasz& Wrobel, Andrzej& Zietek, Alicja& Rechberger, Ewa& Kulik-Rechberger, Beata& Bogusiewicz, Michal…[et al.]. 2019. Does Pharmacological Treatment Reduce the Incidence of Lower Urinary Tract Symptoms (LUTS) after Transobturator Sling?. BioMed Research International،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1127194
Modern Language Association (MLA)
Rechberger, Tomasz…[et al.]. Does Pharmacological Treatment Reduce the Incidence of Lower Urinary Tract Symptoms (LUTS) after Transobturator Sling?. BioMed Research International No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1127194
American Medical Association (AMA)
Rechberger, Tomasz& Wrobel, Andrzej& Zietek, Alicja& Rechberger, Ewa& Kulik-Rechberger, Beata& Bogusiewicz, Michal…[et al.]. Does Pharmacological Treatment Reduce the Incidence of Lower Urinary Tract Symptoms (LUTS) after Transobturator Sling?. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1127194
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1127194