title: Surgical treatment of mixed urinary incontinence: effect of anterior colpoplasty.
abstract: OBJECTIVE
  The aims of this study are to study the surgical outcomes in patients with stress-predominant mixed urinary incontinence (MUI) treated with tension-free vaginal tape, and to evaluate the effect of concomitant anterior colpoplasty.
  
  
  METHODS
  A total of 134 women with MUI clinical and urodynamic were assessed at 6 months and annually (maximum 9 years) after surgery.
  
  
  RESULTS
  As a whole, a complete healing of 49-51% at 3 years is observed, which hence could result in a tax drop of 36.8% at 5-9 years. Nevertheless, the rate of healing or improvement (subjective) is 73.7% at long term (5-9 years). There were no significant differences between the two techniques used: TVT vs TVT-Obturator. On the other hand, we have found significant differences between association of anterior colpoplasty and not (complete healing rate 34.6% vs 64.6%, p = 0.014), at 2 years of monitoring.
  
  
  CONCLUSIONS
  MUI with cystocele presents better surgical results for two components of incontinence, with its physiopathogenic implications.
authors.affiliation: Service of Obstetrics and Gynecology Hospital Parc Taulí, Autonomous University of Barcelona, Parc Taulí s/n Sabadell, Barcelona, Spain. lleberia@hotmail.com
authors.forename: Judith
authors.initials: J
authors.lastname: Lleberia
authors.forename: Josep
authors.initials: J
authors.lastname: Pubill
authors.forename: Montse
authors.initials: M
authors.lastname: Mestre
authors.forename: Emma
authors.initials: E
authors.lastname: Garcia
authors.forename: Maria
authors.initials: M
authors.lastname: Grimau
authors.forename: Eduardo
authors.initials: E
authors.lastname: Bataller
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D052858:Cystocele / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D019919:Prosthesis Implantation / Q000379:methods; D053825:Suburethral Slings; D013997:Time Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D053202:Urinary Incontinence, Urge / Q000601:surgery*; D014621:Vagina / Q000601:surgery*