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Published in: International Urogynecology Journal 4/2008

01-04-2008 | Original Article

Identification of the optimal time to treat urgency after a midurethral sling procedure for stress urinary incontinence

Authors: Cheryn Song, Sang Hyun Park, Ji Yeon Han, Kyu-Sung Lee, Myung-Soo Choo

Published in: International Urogynecology Journal | Issue 4/2008

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Abstract

We followed 91 patients who had undergone transobturator tension-free vaginal tape procedure on their perioperative urgency symptom for 1 year to identify risk factors and optimal time to commence further treatment in the presence of postoperative urgency. Of the 59 patients with preexisting urgency, 54.2, 35.6, and 39.0% demonstrated symptom persistence at postoperative 1, 6, and 12 months, respectively. Of the 32 patients without preoperative urgency, 3.1 and 18.8% of patients demonstrated de novo urgency at 1 and 6 months, respectively, but symptom persistence to 12 months was observed in 6.2%. Overall, urgency lasting to 12 months was observed in 25 (27.5%) of the entire cohort. Preoperative urgency [p = 0.001, odds ratio (OR) 9.583] and urgency at 1 month (p = 0.001, OR 5.124) were associated with symptom persistence to 1 year after surgery. We recommend treatment if urgency is noted at 1 month postoperatively in patients with preexisting urgency, and after 6 months for those without preoperative urgency.
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Metadata
Title
Identification of the optimal time to treat urgency after a midurethral sling procedure for stress urinary incontinence
Authors
Cheryn Song
Sang Hyun Park
Ji Yeon Han
Kyu-Sung Lee
Myung-Soo Choo
Publication date
01-04-2008
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 4/2008
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-007-0469-7

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