ArticleObstetrics and gynecology2013
Incontinence outcomes in women undergoing primary and repeat midurethral sling procedures.
Article in Obstetrics and gynecology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Autologous rectus abdominis fascia sling surgery following unsuccessful synthetic midurethral sling.IJU case reports · 2024Article
- Mid-term results of the Remeex® readjustable sling for female complex stress urinary incontinence and sonographic hypomobile urethra.International urogynecology journal · 2022Observational
- Management of post-operative urinary incontinence after midurethral sling explantation for pelvic or perineal pain.International urogynecology journal · 2022Article
- Recurrent stress urinary incontinence surgery in the United Kingdom: an analysis of the British Society of Urogynaecology database (2007-2015).International urogynecology journal · 2021Article
- Risk Factors for Returning to the Operating Room for a Second Surgery After Midurethral Sling for Stress Urinary Incontinence.Female pelvic medicine & reconstructive surgery · 2020Article
- Urinary incontinence in women.Nature reviews. Disease primers · 2017Review
- Ligament shortening compared to vaginal colpopexy at the time of hysterectomy for pelvic organ prolapse.International urogynecology journal · 2017Article
- Recurrence rate of stress urinary incontinence in females with initial cure after transobturator tape procedure at 3-year follow-up.Investigative and clinical urology · 2017Article
- Surgical outcome of a repeat midurethral sling procedure after failure of a first procedure.International urogynecology journal · 2015Article
- The effect of age on stress and urgency urinary incontinence outcomes in women undergoing primary midurethral sling.International urogynecology journal · 2015Article
- Minimum 1-year results of mesh spiral-sling procedure in managing refractory and primary disabling stress urinary incontinence.International urogynecology journal · 2014Article
- Long-term patient satisfaction with michigan four-wall sacrospinous ligament suspension for prolapse.Obstetrics and gynecology · 2013Article
- Effectiveness of mesh compared with nonmesh sling surgery in Medicare beneficiaries.Obstetrics and gynecology · 2013Article
- In reply.Obstetrics and gynecology · 2013Article
- A severe complication of mid-urethral tapes solved by laparoscopic tape removal and ureterocutaneostomy.Canadian Urological Association journal = Journal de l'Association des urologues du CanadaArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo assess stress urinary incontinence (SUI) and other lower urinary tract symptom outcomes in women undergoing repeat midurethral sling procedures compared with those undergoing primary midurethral sling procedures.
methodsCure was defined as responses of "not at all" or "somewhat" to both questions of the SUI subscale of the Urogenital Distress Inventory-6; symptom effect was assessed using the Incontinence Impact Questionnaire-7. Multivariable models were created controlling for baseline Medical Epidemiologic and Social Aspects of Aging questionnaire urge score and Urogenital Distress Inventory-6 stress subscale score.
resultsOne thousand three hundred sixteen patients had charts available for review: 135 of 1,316 (10.2%) had undergone prior midurethral sling procedures; 799 of 1,316 (61%) questionnaires were returned, with 92 from those having undergone prior midurethral sling procedures. Median follow-up time was 36.4 months with a range of 11.4-71.5 months. Cure rates were 71% (95% confidence interval [CI] 67.7-74.3%) in the primary midurethral sling group and 54% (95% CI 43.8-64.2%) in the repeat midurethral sling group (P<.001). Women undergoing repeat midurethral sling procedures experienced significantly greater improvement in symptom-specific quality of life (QOL) compared with those undergoing primary midurethral sling procedures (-28.87±37.6 compared with -18.42±32.73, P=.01). Multivariable analyses revealed that women in the repeat midurethral sling group had increased risk of SUI failure (odds ratio 1.7, 95% CI 1.1-2.8).
conclusionWomen undergoing repeat midurethral sling procedures had almost two times the odds of SUI treatment failure but greater improvement in symptom effect on QOL than did those undergoing a primary midurethral sling procedure. This information can help counsel patients regarding their expectations of repeat midurethral sling surgery for recurrent SUI . LEVEL OF EVIDENCE: II.
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