Mid-urethral sling with proper sling tension is an effective treatment for stress urinary incontinence in women after pelvic radiotherapy: a pilot study of case series
BackgroundAt present, consensus on the management of female stress urinary incontinence (SUI) after pelvic radiotherapy is lacking. We aim to assess the clinical effects of mid-urethral sling (MUS) for the treatment of SUI after pelvic radiotherapy in women.MethodsWe conducted a retrospective review...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1475030/full |
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| author | Xing Guan Fei Wang Di Zhang Peng Qiao Yan Qin Biao Wang |
| author_facet | Xing Guan Fei Wang Di Zhang Peng Qiao Yan Qin Biao Wang |
| author_sort | Xing Guan |
| collection | DOAJ |
| description | BackgroundAt present, consensus on the management of female stress urinary incontinence (SUI) after pelvic radiotherapy is lacking. We aim to assess the clinical effects of mid-urethral sling (MUS) for the treatment of SUI after pelvic radiotherapy in women.MethodsWe conducted a retrospective review of the clinical database of female with SUI after pelvic radiotherapy from June 2015 to February 2022. The clinical efficacy was evaluated by International Consultation on Incontinence Questionnaire-Short Form (ICI-Q-SF) questionnaire, maximum flow rate (Qmax) and postvoid residual (PVR) urine. All patients were reviewed postoperatively in an outpatient clinic.ResultsWe identified 26 patients with mean age of 59.35 ± 7.32 years. All the patients who suffered from SUI had a history of gynaecological malignancies and received pelvic radiotherapy. 21 patients (80.77%, 95% CI: 0.621–0.915) were considered to have successfully improved after surgery, the ICI-Q-SF scores were lower than the pre-operative at 2 weeks, 6 months and 1 year postoperatively (P < 0.01). After 1-year follow-up, none of the patients had mesh erosion.ConclusionSUI following radiotherapy for the treatment of pelvic malignancy can be challenging to manage. MUS is a highly effective and safe option for the treatment of SUI after radiotherapy, additionally, that proper sling tension is the key to the success of the procedure. |
| format | Article |
| id | doaj-art-902cf4026c4d4043abfd8437d731ee19 |
| institution | Kabale University |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-902cf4026c4d4043abfd8437d731ee192025-01-03T06:47:10ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-01-011110.3389/fsurg.2024.14750301475030Mid-urethral sling with proper sling tension is an effective treatment for stress urinary incontinence in women after pelvic radiotherapy: a pilot study of case seriesXing Guan0Fei Wang1Di Zhang2Peng Qiao3Yan Qin4Biao Wang5Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaDepartment of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaDepartment of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaDepartment of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaDepartment of Urology, Guangxi Hospital Division of The First Affiliated Hospital, Sun Yat-sen University, Nanning, Guangxi, ChinaDepartment of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaBackgroundAt present, consensus on the management of female stress urinary incontinence (SUI) after pelvic radiotherapy is lacking. We aim to assess the clinical effects of mid-urethral sling (MUS) for the treatment of SUI after pelvic radiotherapy in women.MethodsWe conducted a retrospective review of the clinical database of female with SUI after pelvic radiotherapy from June 2015 to February 2022. The clinical efficacy was evaluated by International Consultation on Incontinence Questionnaire-Short Form (ICI-Q-SF) questionnaire, maximum flow rate (Qmax) and postvoid residual (PVR) urine. All patients were reviewed postoperatively in an outpatient clinic.ResultsWe identified 26 patients with mean age of 59.35 ± 7.32 years. All the patients who suffered from SUI had a history of gynaecological malignancies and received pelvic radiotherapy. 21 patients (80.77%, 95% CI: 0.621–0.915) were considered to have successfully improved after surgery, the ICI-Q-SF scores were lower than the pre-operative at 2 weeks, 6 months and 1 year postoperatively (P < 0.01). After 1-year follow-up, none of the patients had mesh erosion.ConclusionSUI following radiotherapy for the treatment of pelvic malignancy can be challenging to manage. MUS is a highly effective and safe option for the treatment of SUI after radiotherapy, additionally, that proper sling tension is the key to the success of the procedure.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1475030/fullstress urinary incontinencepelvic radiotherapymid-urethral slinglower urinary tract symptomspelvic tumor |
| spellingShingle | Xing Guan Fei Wang Di Zhang Peng Qiao Yan Qin Biao Wang Mid-urethral sling with proper sling tension is an effective treatment for stress urinary incontinence in women after pelvic radiotherapy: a pilot study of case series Frontiers in Surgery stress urinary incontinence pelvic radiotherapy mid-urethral sling lower urinary tract symptoms pelvic tumor |
| title | Mid-urethral sling with proper sling tension is an effective treatment for stress urinary incontinence in women after pelvic radiotherapy: a pilot study of case series |
| title_full | Mid-urethral sling with proper sling tension is an effective treatment for stress urinary incontinence in women after pelvic radiotherapy: a pilot study of case series |
| title_fullStr | Mid-urethral sling with proper sling tension is an effective treatment for stress urinary incontinence in women after pelvic radiotherapy: a pilot study of case series |
| title_full_unstemmed | Mid-urethral sling with proper sling tension is an effective treatment for stress urinary incontinence in women after pelvic radiotherapy: a pilot study of case series |
| title_short | Mid-urethral sling with proper sling tension is an effective treatment for stress urinary incontinence in women after pelvic radiotherapy: a pilot study of case series |
| title_sort | mid urethral sling with proper sling tension is an effective treatment for stress urinary incontinence in women after pelvic radiotherapy a pilot study of case series |
| topic | stress urinary incontinence pelvic radiotherapy mid-urethral sling lower urinary tract symptoms pelvic tumor |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1475030/full |
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