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International Urogynecology Journal
Published in: International Urogynecology Journal 4/2020

01-04-2020 | Stress Incontinence | Original Article

Impact of age on outcomes of midurethral sling procedures in women

Authors: So Hyun Ahn, Yun Jin Park, Mi Kyung Kong, Sang Wook Bai

Published in: International Urogynecology Journal | Issue 4/2020

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Abstract

Introduction and hypothesis

Trans-obturator tape (TOT) and tension-free vaginal tape (TVT) comprise minimally invasive surgical management for stress urinary incontinence (SUI). The aim of this retrospective cohort study was to investigate outcomes of TOT and TVT among different age groups of women.

Methods

Medical records of patients who underwent TOT and TVT from January 2010 to December 2015 were reviewed. Patients were stratified into three groups according to age. All patients were interviewed routinely before and after surgery. The primary outcome was cure rate after surgery. Secondary outcomes included hospital stay, operative time, blood loss in surgery, and complication rate. A total of 616 patients diagnosed with SUI and 262 patients who had not undergone any concurrent surgery were eligible for study inclusion.

Results

A total of 616 patients diagnosed with SUI and 262 patients who had not undergone any concurrent surgery were eligible for study inclusion. There were 81 patients in group 1 (≤ 50 years), 97 patients in group 2 (51–59 years), and 84 patients in group 3 (≥ 60 years). After surgery, there were no significant differences in cure rates among the three groups (96.3% vs. 94.8% vs. 97.6%, P = 0.623). There were also no significant differences in operation time, blood loss, hospital stay, and complication rate among the three groups. When analyzing the TOT group (217 patients) and TVT group (45 patients) separately, primary and secondary outcomes did not differ significantly according to age group.

Conclusions

As surgical management for SUI, midurethral sling procedures, both TOT and TVT, were found to be safe and effective among different age groups.
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Metadata
Title
Impact of age on outcomes of midurethral sling procedures in women
Authors
So Hyun Ahn
Yun Jin Park
Mi Kyung Kong
Sang Wook Bai
Publication date
01-04-2020
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 4/2020
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-019-04112-7

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