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International Urogynecology Journal

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01-06-2013 | Original Article

Incidence and risk factors for reoperation of surgically treated urinary incontinence

Authors: Patrick Dällenbach, Carine Luyet, Carol Jungo Nancoz, Michel Boulvain

Published in: International Urogynecology Journal | Issue 6/2013

Abstract

Introduction and hypothesis

The objective of our study was to estimate the incidence and to identify the risk factors for reoperation of surgically treated stress urinary incontinence (SUI).

Methods

We conducted a nested case-control study among 1,132 women who underwent SUI surgery from January 1988 to June 2007. Cases (n = 35) were women who required reoperation for SUI following the first intervention up to December 2008. Controls (n = 89) were women randomly selected from the same cohort who did not require reoperation.

Results

The cumulative incidence of SUI reoperation was 3.1 % with a mean follow-up of 10.9 years (range 1.7–21.0). The main risk factor was the history of more than one vaginal delivery [adjusted odds ratio (OR) 3.5; 95 % confidence interval (CI) 1.0–12.6]. The use of synthetic midurethral slings was a protective factor compared to other surgical procedures for urinary incontinence (adjusted OR 0.1; 95 % CI 0.0–0.6).

Conclusions

The risk of reoperation after SUI surgery appears to be low and associated with multiple vaginal deliveries. Synthetic slings at index surgery are associated with a lower risk of reoperation.

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Title: Incidence and risk factors for reoperation of surgically treated urinary incontinence
Authors: Patrick Dällenbach
Carine Luyet
Carol Jungo Nancoz
Michel Boulvain
Publication date: 01-06-2013
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 6/2013
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1969-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Incidence and risk factors for reoperation of surgically treated urinary incontinence

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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