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The following is a summary of “Transvaginal posterior levatorplasty and perineoplasty for female primary stress urinary incontinence: 12-month follow-up and technical presentation,” published in the October 2024 issue of Urology by Xu et al.
Researchers conducted a retrospective study to investigate the feasibility of transvaginal posterior levatorplasty combined with perineoplasty (TPLP) for women with primary stress urinary incontinence (SUI).
They conducted a non-randomized study on TPLP for female primary SUI from January 2019 to December 2021, with follow-ups at 3 and 12 months. Validated questionnaires assessed symptom severity, sexual function, and quality of life, while 4-D ultrasonography measured pelvic anatomic changes.
The results showed that 47 patients participated, with a mean age of 43.6 years. The mean operative time was 78.7 minutes, and median intraoperative blood loss was 80.2 ml. Objective and subjective cure rates were 87.2% and 91.5%, respectively. After surgery, quality of life, symptom severity, and sexual function scores improved. Mobility of the urethra, bladder neck, and areas of the levator hiatus decreased. Mild coitus pain occurred in 15.4% (6/39) of patients during initial intercourse after resuming sexual activity.
The study concluded that TPLP is an effective surgical option for selected women with primary SUI.
Source: bmcurol.biomedcentral.com/articles/10.1186/s12894-024-01604-7
