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Assessment of Surgical Treatment Outcome of Women Patients with Stress Urinary Incontinence Managed in Jimma University Medical Center, Southwest Ethopia

Chuchu Arega*

Journal Title:Acta Scientific Women's Health
Abstract


Background: Stress Urinary incontinence (SUI) is a common problem in women and with appropriate diagnosis stress urinary incontinence can most often be treated. Jimma University Medical Centre (JUMC) has been performing surgical treatment since the past four years and it was crucial to determine the clinical characteristics and outcomes of surgical treatment done for women with stress urinary incontinence JUMC. Objectives: To determine outcomes of surgical treatment of women with stress urinary incontinence, and associated factors in Jimma University Medical Centre (JUMC). Methods: Hospital based cross sectional study was conducted among 44 female patients with stress urinary incontinence admitted to gynecology ward and underwent surgical treatment in Jimma University Medical Centre (JUMC) over a period of 1 year and 7 months from 1 January/2018 to 30 July/2019 G.C. The collected data was entered into Epidata version 4.1, and then it was exported to SPSS (Version 20.0) for statistical analysis. Result: The study showed that the age of the patients ranged from 14 to 65 years with mean of 35 (± 13) years, 24 (54.5%) patients were house wife, 19 (43.2%) divorced, 33 (75%) were not sexually active, 30 (68.2%) multiparous and 30 (68.2%) patients gave birth by vaginal route. Forty two (95.5%) patients were from rural areas and 27 (61.4%) patients were having stress urinary incontinence for less than 36 months, 17 (38.6%) patients were having stress urinary incontinence for 36 months and above. Thirty nine (88.6%) patents were treated with pubovaginal sling and 36 (81.8%) patients on discharge were continent to urine and were cured of SUI after surgical treatment. Conclusion and Recommendations: In this study the majority of patients had lived with stress urinary incontinence and were treated with Pubovaginal Sling and high success rate was achieved with vulvovaginal Sling procedure.

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