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

Abstract

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.

Efficacy and safety of moxibustion in the treatment of female stress urinary incontinence

“…Urinary incontinence in women is a clinically more common urological disorder than any other chronic disease such as hypertension, depression, or diabetes. [ 36 , 37 ] Among the various forms of urinary incontinence, SUI is the most common. The treatment of SUI is one of the greatest challenges facing women's health and quality of life.…”

Construction of a Prognostic Score for Ultrasound Evaluation of the Transobturator Sling for Stress Urinary Incontinence

“…The post-surgical assessment of anti-incontinence slings is normally evaluated through clinical signs and symptoms and quality of life questionnaires, in combination with isolated ultrasound parameters, but no standardized imaging technique has been described for their assessment [ 20 , 21 ].…”