Incidence and risk factors for reoperation of surgically treated urinary incontinence

Abstract

Introduction and hypothesis The objective of our study was to estimate the incidence and to identify the risk factors for reoperation of surgically treated stress urinary incontinence (SUI). Methods We conducted a nested case-control study among 1,132 women who underwent SUI surgery from January 1988 to June 2007. Cases (n035) were women who required reoperation for SUI following the first intervention up to December 2008. Controls (n089) were women randomly selected from the same cohort who did not require reoperation.Results The cumulative incidence of SUI reoperation was 3.1 % with a mean follow-up of 10.9 years (range 1.7-21.0). The main risk factor was the history of more than one vaginal delivery [adjusted odds ratio (OR) 3.5; 95 % confidence interval (CI) 1.0-12.6]. The use of synthetic midurethral slings was a protective factor compared to other surgical procedures for urinary incontinence (adjusted OR 0.1; 95 % CI 0.0-0.6). ConclusionsThe risk of reoperation after SUI surgery appears to be low and associated with multiple vaginal deliveries. Synthetic slings at index surgery are associated with a lower risk of reoperation.

Demographic features of female urethra length

“…According to our results and due to the fact that some authors showed worse results of anti‐incontinence procedures in obese patients indicating the group at risk for failure those groups require special attention . At the same time, more than one vaginal delivery was shown to be an important risk factor for reoperation (adjusted odds ratio [OR] 3.5; 95% confidence interval [CI] 1.0‐12.6) . It is likely that worse effectiveness of mid‐urethral sling procedures in the above group of patients might be connected with atypical UL.…”

“…22 At the same time, more than one vaginal delivery was shown to be an important risk factor for reoperation (adjusted odds ratio [OR] 3.5; 95% confidence interval [CI] 1.0-12.6). 23 It is likely that worse effectiveness of mid-urethral sling procedures in the above group of patients might be connected with atypical UL.…”

Trends in reoperation for female stress urinary incontinence: A nationwide study

“…The median time for repeat anti‐incontinence surgery was 2.8 years . On the other hand, a case‐control study among from Switzerland reported a cumulative SUI reoperation incidence of 3.1% with a mean 10.9 years follow‐up . In the current population‐based cohort with a mean follow‐up of 86 months, the overall reoperation rate of 3.850% was relatively low, which may partially be explained by the shorter follow‐up duration.…”

“…13 On the other hand, a case-control study among from Switzerland reported a cumulative SUI reoperation incidence of 3.1% with a mean 10.9 years follow-up. 14 In the current population-based cohort with a mean follow-up of 86 months, the overall reoperation rate of 3.850% was relatively low, which may partially be explained by the shorter follow-up duration. However, the incidence rate of 54.37 per 10,000 PY was close to the previously reported figures.…”