title: [Voiding symptoms changes after vaginal sling surgery for female stress urinary incontinence].
abstract: OBJECTIVE
  To evaluate the changes in voiding symptoms in female patients with stress urinary incontinence (SUI) undergoing transvaginal sling techniques over a five-year period in the Department of Urology at the University Hospital of Albacete.
  
  
  METHODS
  Between November 2001 and December 2005 126 patients with SUI (mean age 57.09 years; 36-78) underwent transvaginal sling techniques (Sling in Fast, TVK TOT). All patients were evaluated clinically and urodynamically.
  
  
  RESULTS
  Average body mass index (BMI) was 28.14 kg/m2 (SD 4.66; 95% CI: 27.32-28.96). 92 patients (73%) presented between 2-4 previous pregnancies. 99 patients (80.9%) have had birth labour between 2 and 4 times. All of them were vaginal birth labours except 12 cases (9.5%) in which caesarean section had been performed. Daytime voiding frequency after surgery was over 120 minutes in 112 patients (88.9%). Night-time voiding frequency was equal or less than twice in 110 patients (87.3%). 104 patients (82.5%) presented at least two leaking episodes per day, and 105 patients (83.3%) needed to wear one pad per day or less during the last week before follow-up visit. The number of urinary leak episodes per day diminished in 114 patients (90.5%) with a mean decrease of 9.65 episodes (95% CI: 8.56-10.79) (p < 0.0001). Ninety-four patients (76.4%) were completely dry.
  
  
  CONCLUSIONS
  Development of new surgical techniques for the treatment of SUI have improved results and diminished the number of complications, an expression of which is the favourable evolution of voiding changes after surgery.
authors: Servicio de Urología, Complejo Hospitalario Universitario de Albacete, España. benjamin_m_c@hotmail.com
authors: Benjamín
authors: B
authors: Martínez Córcoles
authors: Antonio S
authors: AS
authors: Salinas Sánchez
authors: Miguel
authors: M
authors: Segura Martín
authors: José Miguel
authors: JM
authors: Giménez Bachs
authors: María José
authors: MJ
authors: Donate Moreno
authors: Héctor
authors: H
authors: Pastor Navarro
authors: Pedro
authors: P
authors: Carrión López
authors: María Angeles
authors: MA
authors: Valero Alvarez
authors: Clotilde
authors: C
authors: Fernández Olano
authors: Julio Antonio
authors: JA
authors: Virseda Rodríguez
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D014554:Urination