Analysis of the Completely Dry Rate Over Time After Mid-urethral Sling in a Real-world Clinical Setting

Moskowitz, Dena; Gioia, Kevin; Wolff, Erika M.; Massman, John D.; Lucioni, Alvaro; Kobashi, Kathleen C.; Lee, Una

doi:10.1016/j.urology.2018.12.036

Cited by 5 publications

(9 citation statements)

References 15 publications

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“…This point is also showed with the width of the estimated 95% CIs at each time period, however long‐term results of this cohort are similar to previous reports 7,9,10 . We also found that TO‐MUS effectiveness slightly decreases over time as it has also been reported by other groups 10,16–20 . Interestingly, we have observed that, being previously cured, the risk of failure is higher during the first year after surgery and that that risk is markedly reduced in subsequent years.…”

Section: Discussionsupporting

confidence: 90%

“…In fact, the tendency analysis on the multivariate adjusted model shows a lineal association where a higher obesity class confers a higher incidence of failure. The same variables have been described as risk factors for TO‐MUS failure in previous reports 8,16,22 . This could result of special clinical interest when counseling a woman about treatment options for SUI and mainly regarding BMI which represents a potentially modifiable risk factor.…”

Section: Discussionmentioning

confidence: 61%

“…The same variables have been described as risk factors for TO-MUS failure in previous reports. 8,16,22 This could result of special clinical interest when counseling a woman about treatment options Safety is also an important issue for surgical procedures and postoperative complications were not uncommon in our study. However, most of these complications were related to concomitant surgery, being this the most important factor related to intraoperative and per-operative complications.…”

Section: Discussionmentioning

confidence: 80%

“…7,9,10 We also found that TO-MUS effectiveness slightly decreases over time as it has also been reported by other groups. 10,[16][17][18][19][20] Interestingly, we have observed that, being previously cured, the risk of failure is higher during the first year after surgery and that that risk is markedly reduced in subsequent years. This higher risk of failure in the short and midterm has also been described in other cohorts.…”

Section: Discussionmentioning

confidence: 92%

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Long‐term outcomes of transobturator suburethral tapes for female stress urinary incontinence

Sabadell

Montero-Armengol

Salicrú

et al. 2021

Neurourology and Urodynamics

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Aims: The aim is to evaluate long-term effectiveness and safety of transobturator midurethral slings (TO-MUS) for treating female stress urinary incontinence (SUI). Possible risk factors for failure and complications are also evaluated. Methods: A descriptive retrospective study was performed among women with SUI treated at a tertiary urogynecology unit between January 2004 and December 2006. Women with stress-predominant mixed urinary incontinence or with associated pelvic organ prolapse were also included. Postoperative follow-up was performed at 1, 6, and 12 months and yearly thereafter.Outcomes were classified as cured, improved or failed.Results: Of 896 women operated on over the study period, 565 were suitable for the analysis. Of them, 327 women completed the 5-year, 225 the 7-year, and 172 the 10-year follow-up periods. Success rates were 77.6%, 73.8%, and 73.2% at 5, 7, and 10 years, respectively. On multivariate Cox regression models age, body mass index, and previous incontinence surgery were related to failure. Complications of any type were described in 24.9% of patients, although most of them were mild. Only concomitant prolapse surgery was related to intraoperative and peroperative complications and the inside-out route to an increased odds of groin pain (odds ratio = 4.0). Conclusions:This study showed that TO-MUS is an effective and safe procedure in the long-term. The expected outcomes and possible side effects profile should be discussed in detail during the counseling process before opting for a treatment option.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 92%

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Long‐term outcomes of transobturator suburethral tapes for female stress urinary incontinence

Sabadell

Montero-Armengol

Salicrú

et al. 2021

Neurourology and Urodynamics

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“…We noted that success rates wane with longer follow‐up and late failures occur. Similarly, Moskowitz et al 10 found that women who were subjectively dry within the first 1.5 years after transobturator MUS had a 74% and 50% chance of remaining dry at 3 and 5 years, respectively. Likewise, in a retrospective cohort study of nearly 35,000 women who underwent transobturator MUS, Gurol‐Urganci et al 11 cited the reoperation rate for SUI to be 1.3% at 1 year, 3.5% at 5 years, and 4.5% at 9 years.…”

Section: Discussionmentioning

confidence: 89%

Long‐term outcomes of transobturator midurethral slings: A critical evaluation of a real‐world population

Valadez

Frilot

Gomelsky

2020

Neurourology and Urodynamics

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incontinence (SUI) guidelines strongly recommend the midurethral sling (MUS) for the index female patient with SUI. While numerous studies report long-term outcomes and complications for the retropubic MUS, these are largely absent for the transobturator MUS and are assessed in this study. Methods: This is an Institutional Review Board approved retrospective chart review of all women who underwent a transobturator MUS at a single institution from 2004 to 2010. Pre-and postoperative assessment included a cough-stress test, SEAPI assessment, and validated quality-of-life (QoL) questionnaires. SUI resolution was defined as no subjective or objective SUI, and no additional surgery to achieve stress continence. Results: Of 437 women, 305 (70%) had a minimum follow-up of 48 months (mean 88; median 92). SUI was resolved in 69% of the entire cohort and 58% of the 78 women who had MUS only. The median time to SUI recurrence was 38 months in the entire cohort and 18 months in the MUS only group. Perioperative complications were infrequent and typically associated with concomitant surgery. A statistically significant improvement was observed in SEAPI scores and all QoL indices postoperatively. Conclusions: Long-term resolution of SUI after the transobturator MUS is achieved by 69%, which is commensurate with success rates reported in the literature. Overall, women experience a significant improvement in their QoL after transobturator MUS; however, late recurrences and delayed sequelae may occur. Thus, long-term follow-up is warranted in this population.

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The impact of partially absorbable midurethral slings in stress urinary incontinence surgery: A cohort study

Ng‐Stollmann¹,

Fünfgeld²,

Hüsch

2022

Intl J Gynecology & Obste

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Stress urinary incontinence (SUI) in women is a common condition with a prevalence between 28% and 65%. 1 The reference standard for surgical treatment of SUI is the synthetic midurethral sling (MUS). 2 Since its introduction by Ulmsten and Petros 3 in 1995, a large body of evidence for its efficacy and safety has been collected. 4 However, there are still limited data regarding risk factors for MUS failure. 5 Moreover, the efficacy and safety of MUS are commonly investigated in well-controlled clinical trials and highly selected patients.In contrast, evidence for heterogeneous patient cohorts are scarce.Recently, the use of synthetic polypropylene mesh in pelvic organ prolapse (POP) repair has been steeped in controversy due to numerous adverse events. 6 In certain countries, not only transvaginal

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Analysis of the Completely Dry Rate Over Time After Mid-urethral Sling in a Real-world Clinical Setting

Cited by 5 publications

References 15 publications

Long‐term outcomes of transobturator suburethral tapes for female stress urinary incontinence

Long‐term outcomes of transobturator suburethral tapes for female stress urinary incontinence

Long‐term outcomes of transobturator midurethral slings: A critical evaluation of a real‐world population

The impact of partially absorbable midurethral slings in stress urinary incontinence surgery: A cohort study

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