Unilateral J-cut division versus partial and subtotal removal techniques in female patients with mesh-related urethral obstruction: Multicentric comparative study

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dc.contributor.authorÇetinel B.
dc.contributor.authorKalender G.
dc.contributor.authorKırlı E.A.
dc.contributor.authorYenilmez A.
dc.contributor.authorGülpınar Ö.
dc.contributor.authorŞimşir A.
dc.contributor.authorTemeltaş G.
dc.contributor.authorÇubuk A.
dc.contributor.authorCan G.
dc.date.accessioned2024-07-22T08:01:08Z
dc.date.available2024-07-22T08:01:08Z
dc.date.issued2024
dc.description.abstractObjective: To compare the functional (obstruction relieving) outcomes and complications of unilateral J-cut division, partial and subtotal vaginal removal techniques were performed for mesh-related urethral obstruction (MRUO) in females. Methods: Patient review included demographics, a medical history and proforma with details of lower urinary tract symptoms (LUTS), physical and urodynamic findings, detailed surgical reports and follow-up data. Variables were compared between the three groups. Results: Out of 130 patients with sling revision surgery (SRS), 54 women underwent SRS for MRUO with a median follow-up of 48 (17–96) months. Unilateral J-cut division, partial and subtotal vaginal removal techniques were performed in 12, 31 and 11 patients with a median duration of surgery of 30 (25–34), 40 (35–56) and 60 (60–70) minutes, respectively (p = 0.001). Statistically significant increase in median maximum free urine flow rate and decrease in median post-void residual urine volume were found after SRS in the three groups, while de novo stress urinary incontinence (SUI) developed in 10%, 44% and 60% of the patients in the unilateral J-cut division, partial and subtotal removal groups, respectively (p = 0.007). Conclusions: The unilateral J-cut division technique was as effective as the partial and subtotal vaginal removal techniques in relieving MRUO with a shorter duration of surgery time (p = 0.001) and lower risk of de novo SUI (p = 0.007). Comparative studies with a larger number of patients are needed. © 2024 The Authors. BJUI Compass published by John Wiley & Sons Ltd on behalf of BJU International Company.
dc.identifier.DOI-ID10.1002/bco2.350
dc.identifier.issn26884526
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/11345
dc.language.isoEnglish
dc.publisherJohn Wiley and Sons Inc
dc.rightsAll Open Access; Gold Open Access
dc.titleUnilateral J-cut division versus partial and subtotal removal techniques in female patients with mesh-related urethral obstruction: Multicentric comparative study
dc.typeArticle

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