Evaluation of changes in urethral rotation angle and quality of life after stress urinary incontinence surgery with transperineal ultrasonography

Year 2025, Volume: 42 Issue: 3, 285 - 289, 30.09.2025

Sema Baki Yıldırım , Kıymet İclal Ayaydın Yılmaz

Abstract

The aim of this study was to evaluate the change in preoperative and postoperative urethral rotation angle by transperineal ultrasonography (TPUS) and its reflection on clinical outcomes in patients undergoing transvaginal tape (TVT) surgery for stress urinary incontinence (SUI). This retrospective study included 40 patients who underwent TVT surgery. TPUS and urethral rotation angle (URA) values, International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) scores and quality of life scores were recorded preoperatively and 6 months postoperatively. The data were analyzed using descriptive statistical methods. The mean age of the patients was 50.7±7.9 years. Furthermore, 57.5% of the patients in the study (n=23) were postmenopausal. In the preoperative period, 90% of participants (n=36) reported severe limitations in their quality of life, as measured by the ICIQ-SF. URA decreased from 57.7±5.1° preoperatively to 31±8.7° postoperatively (p=0.001). ICIQ-SF score decreased from 17.9±2.7 to 2.4±3.5 and quality of life score decreased from 9.1±1.5 to 0.5±1 (p=0.001). Both anatomical and functional improvement was found after TVT surgery. TPUS is a useful method for noninvasive and objective monitoring of surgical efficacy in the treatment of SUI.

Keywords

Urethral rotation angle , Quality of life , Stress urinary incontinence , Transperineal ultrasonography , Transvaginal tape surgery

Ethical Statement

Scientific Research Ethics Committee of Giresun Education and Research Hospital Protocol number: 14.05.2025/20

Project Number

1

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