What are the Predictive Factors of the Cure and Complication Rates for Midurethral Slings in the Treatment of Stress Urinary Incontinence in Women: A Multicenter and Multivariate Analysis Study
Journal Title: JOURNAL OF UROLOGICAL SURGERY - Year 2017, Vol 4, Issue 3
Abstract
Objective: Predictive factors that could affect the cure and complication rates of midurethral slings (MUS) in the treatment of stress urinary incontinence (SUI) were investigated. Materials and Methods: A total of 594 women (outside-in transobturator in 285, inside-out transobturator in 91, and retropubic in 218) with SUI and who had undergone MUS were evaluated. The median age was 53.9 (27-82) years. Univariate analyses were done using chi-square test, Student’s t-test and the Mann-Whitney U test. Multivariate analyses were done using logistic regression analysis to determine predictive factors affecting cure and complication rates. Results: The mean follow-up time was 48 months. The subjective cure rate was 84% and complication rate was 11.2%. On univariate and multivariate analyses, the cure rate was found to be increased in younger patients [odds ratio (OR): 0.97, 95% confidence interval (CI): 0.95-0.99, p=0.038] and in patients with pure SUI (OR: 2.17, 95% CI: 1.31-3.60, p=0.002). The type of surgery was the only statistically significant parameter affecting the complication rate, which was significantly higher in retropubic MUS procedure (OR: 6.28, 95% CI: 3.51-11.22, p<0.001). Conclusion: MUS is an effective and safe surgical procedure in the treatment of SUI. In this study, age and type of incontinence were the only significant predictive factors affecting the cure rate. Our study suggests that retropubic approach could be considered a risk factor for complication after MUS.
Authors and Affiliations
Sinharib Çitgez, Oktay Demirkesen, Naşide Mangır, Adnan Şimşir, Ceyhun Özyurt, Seyfettin Çiftçi, Cüneyd Özkürkçügil, Lokman İrkilata, İlker Şen, Tufan Tarcan, Bülent Çetinel
Keywords
Related Articles
- EP ID EP243862
- DOI 10.4274/jus.1334
- Views 86
- Downloads 0
Re: Local Tumor Bed Recurrence Following Partial Nephrectomy in Patients with Small Renal Masses
.
Extrarenal Retroperitoneal Angiomyolipoma: A Rare Case
Angiomyolipomas are benign tumors consisting of smooth muscles, vessels, and fat tissue. They are generally located on the kidneys; extrarenal angiomyolipoma is rare. Apart from the kidneys, angiomyolipomas are seldom lo...
Isolated Renal Metastasis from Neuroendocrine Tumor: How Rare is Rare? A Case Report and Review of the Literature
Neuroendocrine tumors (NETs) are epithelial neoplasms arising from neuroendocrine cells that are widely distributed throughout the body. The kidney is a rare site for primary NETs and is even rarer as a metastatic site....
Endovascular Management of Surgically Uncontrolled Hemorrhage Following Post-Radical Nephrectomy: A Case Report
We present an isolated right lumbar arterial hemorrhage following right radical nephrectomy. Surgical re-exploration was unsuccessful therefore active bleeding was diagnosed and treated with endovascular approach.
Re: Fosfomycin Trometamol in the Prophylaxis of Post-kidney Transplant Urinary Tract Infection: A Controlled, Randomized Clinical Trial
.