[Impact of rectal prolapse and rectocele on TVT results].
OBJECTIVE
The comorbidity between rectal repair surgery and stress urinary incontinence (SUI) repair by TVT (simplified suburethral sling procedure) is a poorly defined entity. The objective of this study was to evaluate the influence of this combination on the quality of postoperative voiding and urinary continence.


METHODS
Retrospective analysis of 12 patients (group 1) simultaneously treated by TVT and rectocele repair by anterior rectal mucosectomy (Sullivan: 6 cases) or rectal prolapse repair (open rectal fixation: 6 cases). They were compared to a group of 12 randomly selected patients (group 2) treated by TVT alone during the same period.


RESULTS
A significant post-voiding residual urine volume was observed in 4 women of group 1 versus only one woman of group 2. All patients subsequently and spontaneously resumed satisfactory voiding except for one woman of group 1, in whom self-catheterization had to be maintained. After a mean follow-up of 18 months for group 1 and 17 months for group 2, only one woman, in group 2, was still incontinent.


CONCLUSIONS
Rectal repair surgery, combined with TVT, increases the risk of transient postoperative urinary retention. This surgical combination does not appear to modify the medium-term result of the urological procedure.
Ben Amna
Marouane
M
Service d'Urologie, Hôpital Charles Nicolle, 1, rue de Germont, 76031 Rouen.
Grise
Philippe
P
Michot
Francis
F
Sibert
Louis
L
D005260:Female; D006801:Humans; D008875:Middle Aged; D012005:Rectal Prolapse / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D014549:Urinary Incontinence / Q000150:complications / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*