Tension‐free vaginal tape: Do patients who fail to follow‐up have the same results as those who do?

Minassian, Vatché A.; Al‐Badr, Ahmed; Pascali, Dante; Lovatsis, Danny; Drutz, Harold P.

doi:10.1002/nau.20081

Cited by 5 publications

(8 citation statements)

References 19 publications

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“…Contrary to the findings by Minassian et al (14), who stated that only 1.85% of patients' dissatisfaction with the surgery as the main reason for poor compliance of follow-up, we noted a poor relationship with doctors and doubt for further treatment as the main reason for poor adherence. In their study, 26.8% (29/108) had poor follow-up although the clinical result could be checked by telephone interview in 15.7% (17/108) of those not returning or put in another way, 11.1% (12/108) were true missing cases despite the prospective nature of the study.…”

Section: Discussioncontrasting

confidence: 99%

“…Assuming patients lost during follow-up as successes or as failures can markedly shift the rate of failure or success in a given technique or series, as prospectively demonstrated by Ward et al (13) and Minassian et al (14). Assuming them as failures or cured does not mean that long-term follow-up will be persistent and consistent because objective and subjective results regularly do not match perfectly (2), and recurrence and failure may become obvious only after a long-term follow-up (7,15), rendering conclusions on the long-term efficacy of the procedure more difficult to state.…”

Section: Discussionmentioning

confidence: 98%

“…In their study, 26.8% (29/108) had poor follow-up although the clinical result could be checked by telephone interview in 15.7% (17/108) of those not returning or put in another way, 11.1% (12/108) were true missing cases despite the prospective nature of the study. Being one of the few reports on this issue, the mentioned authors concluded that the patients with good follow-ups present a higher success rate (92.4%) than those with poor reevaluation (72.4%), who additionally showed abandonment of follow-up earlier (mean 21 versus 10 months) (14).…”

Section: Discussionmentioning

confidence: 99%

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One hundred cases of sui treatment that failed: a prospective observational study on the behavior of patients after surgical failure

2014

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ARTICLE INFO ______________________________________________________________ ______________________Objectives: Determine what happens to patients after unsuccessful SUI operations and to explore the reasons why these patients change doctors. Materials and Methods:One hundred consecutive failed patients treated for SUI were interviewed about the exams requested after persistence of the incontinence as well as the reasons they abandoned their primary doctors through a structured questionnaire.Results: Among the patients with cases of anterior colporrhaphy, bladder suspensions or slings, 34.3%, 13.7% and 8.3%, respectively, were not offered any further type of investigative procedures to clarify the failure. Urodynamic evaluations were recommended in 75% of failed slings, and 66.6% of the patients proceeded with these tests. In contrast, only 31% of patients with bladder suspensions and 40% of patients with anterior colporrhaphy were recommended for urodynamic investigations, and only 44.4% and 28.5% of them, respectively, proceeded with the option. Patients´ delusions were reinforced by the doctors' attitude toward the investigations. Vacuous justifications and the lack of intention to seek improvement were the driving forces causing the patients to change doctors. Conclusion: Unsuccessful patients are evaluated in a non-protocol form. Difficulty in clarifying the reasons for surgical failure and the disruption of the doctor-patient relationship are the main reasons why patients abandon them.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

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One hundred cases of sui treatment that failed: a prospective observational study on the behavior of patients after surgical failure

2014

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“…We had a higher response rate of follow-up loss patients (81.8%). The results of the present study correspond with the results from Minassian et al (27), which reported that follow-up loss patients had lower success rates (72.4% vs. 92.4%, p=0.006).…”

Section: Discussionsupporting

confidence: 92%

“…There are not many reports about follow--up loss after MUSSs, but a few studies reported 27 to 31% loss rate within 3 months (26,27). Ou et al [28] performed systematic review of 58 prospective SUI surgery series and reported 36% follow--up loss at 36 months after surgery.…”

Section: Discussionmentioning

confidence: 99%

Patients lost to follow-up after midurethral sling surgery: How are they?

et al. 2014

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ARTICLE INFO ______________________________________________________________ ______________________Purpose: To assess the ratio of patients lost to follow-up (FU) after midurethral sling surgery, to evaluate their success rate and current status, and to identify the reasons for FU loss. Materials and Methods: Two-hundred thirty-eight patients who received trans-obturator tape (TOT) surgery were reviewed. For patients lost to FU within 3 months, Stamey's outcome questionnaire and questions regarding the reasons for FU loss were submitted via phone interview. Results: One hundred forty-three (60.1%) patients (FU loss group) were lost to FU within 3 months postoperatively. In the FU loss group, phone interviews were conducted with 117 (81.8%) patients. Aside from the urgency rate (59.3% vs. 72.3%, p=0.049), there were no significant statistical differences in preoperative profiles between two group. The success rate of the FU loss group (80.3%, 94 of 117 patients) was lower than that of the FU group (95.8%, 91 of 95 patients) (p=0.001). The success rates in the FU loss group with mixed urinary incontinence (MUI) were significantly lower than in the FU group with MUI. As for the reason for FU loss, 74 patients (62.7%) were lost due to incontinence improvement, 19 patients (16.1%) cited personal problems, and 5 patients forgot the next follow-up date. Only 10 patients gave up further treatment despite their persisting incontinence. Conclusions: In our study, more than half of patients were lost to follow-up after midurethral sling surgery. The FU loss group showed a lower surgical success rate, particularly with MUI. Close FU is recommended for better consultation of patients' incontinence.

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Facteurs pronostiques de la prise en charge chirurgicale de l’incontinence urinaire d’effort (IUE) par bandelette sous-urétrale libre

et al. 2006

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Tension‐free vaginal tape: Do patients who fail to follow‐up have the same results as those who do?

Abstract: Patients with poor follow-up probably have lower cure rates after TVT. It is important to follow postoperative patients closely. When reporting success rates, one has to account for all cases to produce realistic results.

Cited by 5 publications

References 19 publications

One hundred cases of sui treatment that failed: a prospective observational study on the behavior of patients after surgical failure

One hundred cases of sui treatment that failed: a prospective observational study on the behavior of patients after surgical failure

Patients lost to follow-up after midurethral sling surgery: How are they?

Facteurs pronostiques de la prise en charge chirurgicale de l’incontinence urinaire d’effort (IUE) par bandelette sous-urétrale libre

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