A Prospective Cohort Study to Assess the Efficacy of Colposuspension for the Treatment of Stress Urinary Incontinence
DOI:
https://doi.org/10.48047/Keywords:
Stress urinary incontinence, Colposuspension, Long-term efficacyAbstract
Background: Stress urinary incontinence (SUI) constitutes a common underlying disorder that has a remarkable impact on women’s lives throughout the world. Colposuspension has been a very common surgical treatment; however, there are concerns if this corrective measure is safe and if it remains effective as intended in the long run. The present study aims to fill in this gap of knowledge by providing extensive evidence on the clinical outcomes of colposuspension in women suffering from SUI.
Objective: This prospective cohort study aimed to evaluate the efficacy and safety of colposuspension as one of the methods of SUI management in women during one-year of follow-up observation.
Method: Colposuspension was performed on 100 women aged 30–60 years suffering from moderate to severe SUI. Patients were followed for two years after surgery with objective and subjective cure re-evaluated one year and two years postoperatively. Information regarding post-operative and other complications, the rate of recurrence, and patient satisfaction outcomes was collected and analyzed.
Results: At the one-year mark, clinically objective cure rates for SUI are at 85%, and at the two-year mark, the cure rates are at 80%, while subjective cure rates at the same two periods are at 78% and 74%, respectively, revealing a statistically significant improvement from baseline (p < 0.01). Adverse events were rare and included retained urine in 10% of patients and de novo urgency in 15%. Five patients had wound infections, 7% pelvic pain, and 3% required reoperation. More importantly, only 8% of patients had persistent incontinence at a two-year follow-up visit, which highlights the success of colposuspension.
Conclusion: Colposuspension remains a successful and safe surgical method for the management of SUI with positive outcomes over two years. The procedure enabled improvements among patients as all the objective and subjective outcomes were attained with minimal rates of postoperative complications. These findings help to put colposuspension in the context of treatment for SUI and contribute powerful support for the operative procedure to be preserved in the practice. More extensive follow-up studies will be essential to authenticate the portrayed findings and are necessary for making decisions in clinical practice in the future.
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