Ces Urol 2015, 19(2):145-148 | DOI: 10.48095/cccu2015024

De novo urgency treatment of women after TOT procedure

Barbora Novotná, Jaroslav Ženíšek, Miloš Fiala
Urologické oddělení, Nemocnice České Budějovice a.s., České Budějovice

Novotná B, Ženíšek J, Fiala M. De novo urgency treatment of women after TOT procedure.

Objektive: Retrospective evaluation of the treatment de novo urgency with temporary medication.

Methods: In a group of 73 female patients with stress incontinence, de novo urge syndrome appeared in eight (10.9 %) cases. Six of these women were treated with oral propiverine, one did not require any treatment for mild symptoms, and by one patient was switched from solifenacin to propiverine due to negative side effects. None of the patients suffered from urgency symtomps during the therapy. The duration of treatment ranged between 4-6 months.

Results: Urge symptoms did not reoccur in 6 patients after discontinuation of the medication



treatment: One patient required a re-administration of medication therapy.

Conclusions: De novo urgency syndrome after transobturator tape placement which is not associated with other complications, responds well to anticholinergic therapy. In our group, it was possible to discontinue the therapy without recurrence of difficulties.

Keywords: Anticholinergics, de novo urgency, stress urinary incontinence, transobturatory tape, urge urinary incontinence.

Received: March 12, 2015; Accepted: June 11, 2015; Published: July 5, 2015 


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