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International Urogynecology Journal

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01-02-2010 | Original Article

Risk factors of treatment failure of midurethral sling procedures for women with urinary stress incontinence

Authors: Kobi Stav, Peter L. Dwyer, Anna Rosamilia, Lore Schierlitz, Yik N. Lim, Joseph Lee

Published in: International Urogynecology Journal | Issue 2/2010

Abstract

Introduction and hypothesis

Midurethral sling (MUS) is now the first line surgical treatment for female stress urinary incontinence. Our aim was to identify predictors for MUS failure.

Methods

A total of 1,225 consecutive women with urodynamic urinary stress incontinence had a synthetic MUS (955 retropubic and 270 transobturator) at our institution between 1999 and 2007. Multivariate analysis was performed in order to identify independent risk factors for failure.

Results and conclusions

At a mean follow-up of 50 ± 24 months (range, 12–114), the subjective cure rate was 84.7%. Multivariate analysis revealed that BMI >25 (OR, 2.9), mixed incontinence (OR, 2.4), previous continence surgery (OR, 2.2), intrinsic sphincter deficiency (OR, 1.9), and diabetes mellitus (OR, 1.8) are significant independent predictors for MUS failure. Concomitant prolapse surgery decreased the likelihood of surgical failure after MUS (OR, 0.6). Patient’s age and the type of the sling were not found to be risk factors for surgical failure.

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Title: Risk factors of treatment failure of midurethral sling procedures for women with urinary stress incontinence
Authors: Kobi Stav
Peter L. Dwyer
Anna Rosamilia
Lore Schierlitz
Yik N. Lim
Joseph Lee
Publication date: 01-02-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 2/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-1020-9

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Risk factors of treatment failure of midurethral sling procedures for women with urinary stress incontinence

Abstract

Introduction and hypothesis

Methods

Results and conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results and conclusions

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