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International Urogynecology Journal

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01-03-2020 | Stress Incontinence | Original Article

Childbirth after mid-urethral sling surgery: effects on long-term success and complications

Authors: Ole A. Dyrkorn, Anne C. Staff, Sigurd Kulseng-Hanssen, Hjalmar A. Schiøtz, Rune Svenningsen

Published in: International Urogynecology Journal | Issue 3/2020

Abstract

Introduction and hypothesis

To evaluate long-term outcomes in women with one or more childbirths after mid-urethral sling (MUS) surgery and potential differences in outcomes based on mode of delivery.

Methods

A population-based cohort study using data from two national registries. Women registered with childbirth after MUS (case group) or without childbirth after MUS (control group), with equal follow-up time, underwent a structured telephone interview using a validated short-form urinary disease-specific questionnaire. Primary outcomes were current stress urinary incontinence (SUI) rate and change in cure rate. Secondary outcomes were effect of delivery mode, rates of repeat operations for SUI, complications, treatment satisfaction and urgency urinary incontinence rate. Childbirth as an independent risk factor for SUI recurrence was also evaluated.

Results

Seventy-two women with and 156 women without childbirth after MUS were included.

Median follow-up time was 10 years for both groups. Subjective SUI cure rates were 82% (cases) and 75% (controls), respectively (p = 0.31). A significantly lower SUI cure rate was seen in the women with more than one childbirth after MUS (50% vs. 88% p = 0.006).

No differences in primary or secondary outcomes were found between groups at follow-up, nor did mode of delivery affect outcomes. Childbirth after MUS was not an independent risk factor for subjective SUI recurrence (OR 0.8 CI 0.3–1.7).

Conclusions

No differences in outcomes were seen between groups at follow-up independently of delivery mode. However, having more than one delivery after MUS seems to impact the continence status.

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Title: Childbirth after mid-urethral sling surgery: effects on long-term success and complications
Authors: Ole A. Dyrkorn
Anne C. Staff
Sigurd Kulseng-Hanssen
Hjalmar A. Schiøtz
Rune Svenningsen
Publication date: 01-03-2020
Publisher: Springer International Publishing
Keywords: Stress Incontinence
Urinary Incontinence
Urinary Incontinence
Published in: International Urogynecology Journal / Issue 3/2020
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-019-04067-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Childbirth after mid-urethral sling surgery: effects on long-term success and complications

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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