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Impact of mid-urethral tape on voiding parameters

Authors: Hensel Germund | Košťál Milan | Homola Prokop | Holcmanová Radka | Mňuková Veronika | Zámečníková Iva

Year: 2019

Type of publication: ostatní - přednáška nebo poster

Page from-to: nestránkováno

Titles:

Language	Name	Abstract	Keywords
eng	Impact of mid-urethral tape on voiding parameters	INTRODUCTION AND AIM OF THE STUDY After being treated with mid-urethral tape, patients often report weaker urine flow. The aim of the study is to look after some objective voiding parameters before and after tape implantation. We additionally focused on those patients who had pathological voiding parameters before the tape. MATERIALS AND METHODS From February 2016 to February 2017, we included 87 women with urodynamic stress incontinence who all underwent mid-urethral tape implantation (transobturator or retropubic). All of them underwent uroflowmetry before and 3 months after surgery. RESULTS Mid-urethral tape implantation significantly reduced maximum flow rate (Qmax) and average flow rate (Qave) and it significantly prolonged the time of emptying the bladder (fig. 1). Surprisingly, tape insertion did not worsen these parameters, when they were in a low range before surgery. Qave even improved significantly (tab. 1-3). INTERPRETATION OF RESULTS Implantation of mid-urethral tape results in a measurable lower urine flow, which may be due to a certain kinking or compression of the urethra caused by the tape [1]. Nevertheless, adverse voiding parameters before surgery do not worsen after it, they even improve. These are good news to hand on to patients during consulation before tape surgery. Our findings are in accordance with the results of other studies [2,3]. CONCLUSIONS Mid-urethral tape implantation significantly decelerates urine flow but does not worsen voiding parameters if they are unfavorable before the implantation.	suburethral tape; evacuation parameters