Effectiveness of Kelly Plication Method on Clinical Improvement in Stress Urinary Incontinence Patients

Authors

  • Puspitasari Notohatmodjo Obstetric and Gynecology Department, Medical Faculty of Diponegoro University Semarang, Indonesia, Indonesia
  • Besari Adi Pramono Fetomaternal Subdivision, Obstetrics and gynecology Department, Medical Faculty of Diponegoro , Indonesia
  • Inu Mulyantoro Fertility Subdivision, Obstetrics and gynecology Department, Medical Faculty of Diponegoro University/Central General Hospital of Kariadi Semarang, Indonesia, Indonesia
  • Herman Kristanto Fetomaternal Subdivision, Obstetrics and gynecology Department, Medical Faculty of Diponegoro University/Central General Hospital of Kariadi Semarang, Indonesia, Indonesia
  • Dewi Astri Purnaningtyas Urogynecology Subdivision, Obstetrics and gynecology Department, Medical Faculty of Diponegoro University/Central General Hospital of Kariadi Semarang, Indonesia, Indonesia
  • Arufiadi Anityo Mochtar Urogynecology Subdivision, Obstetrics and gynecology Department, Medical Faculty of Diponegoro University/Central General Hospital of Kariadi Semarang, Indonesia, Indonesia
  • Erwinanto Urogynecology Subdivision, Obstetrics and gynecology Department, Medical Faculty of Diponegoro University/Central General Hospital of Kariadi Semarang, Indonesia, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v11i1.1032

Keywords:

stress urinary incontinence, SUI, Kelly plication, pelvic organ prolapse

Abstract

BACKGROUND: Patients with pelvic organ prolapse (POP) usually present with POP, but stress urinary incontinence (SUI) is also found during history taking and physical examination. As a result, the complaint of SUI is persistent despite POP surgery. Therefore, SUI found along with POP and undergoing surgery can be performed Kelly plication method.

OBJECTIVES: To examine the effectiveness of Kelly's plication method on clinical changes and quality of life of patients suffering from SUI.

METHODS: A single cohort prospective one-group pretest-posttest design conducted at RSUP Dr. Kariadi Teaching Hospital Semarang involving 31 research subjects. All subjects were measured preoperative IIQ-7 questionnaire and pad test. Then, all subjects will undergo Kelly method surgery. Postoperative evaluation will be conducted 3 months later, including measurement of the IIQ-7 questionnaire and pad test. All data will be analyzed with univariate and bivariate analysis using paired t-test and Wilcoxon test.

RESULTS:  The effectiveness rate of Kelly's plication method was 58.06% in this study. Most of the subjects were aged 50-59 (38.7%) years and had experienced menopause (87.1%). Correlation analysis of baseline data on the degree of preoperative SUI showed that the degree of POP correlated SUI. The Pad test and IIQ-7 questionnaire test showed a significant decrease in postoperative measurements in the treatment group (p: <0.001 & p: <0.001).

CONCLUSIONS: Kelly's plication method is effective in treating SUI.

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Published

2024-03-28

How to Cite

1.
Notohatmodjo P, Pramono BA, Mulyantoro I, Kristanto H, Purnaningtyas DA, Mochtar AA, Mulyantoro E. Effectiveness of Kelly Plication Method on Clinical Improvement in Stress Urinary Incontinence Patients. Medica Hospitalia J. Clin. Med. [Internet]. 2024 Mar. 28 [cited 2024 May 16];11(1):71-8. Available from: http://www.medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/1032

Issue

Vol. 11 No. 1 (2024): Med Hosp; March 2024

Section

Original Article

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Copyright (c) 2024 Puspitasari Notohatmodjo, Besari Adi Pramono, Inu Mulyantoro, Herman Kristanto, Dewi Astri Purnaningtyas, Arufiadi Anityo Mochtar, Erwinanto (Author)

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