Risk factors of treatment failure of midurethral sling procedures for women with urinary stress incontinence

被引：96
|
作者：
Stav, Kobi [1 ,2 ]
Dwyer, Peter L. [2 ]
Rosamilia, Anna [2 ,3 ]
Schierlitz, Lore [2 ]
Lim, Yik N. [2 ,3 ]
Lee, Joseph [2 ]
机构：
[1] Mercy Hosp Women, Urogynaecol Dept, Heidelberg, Vic 3084, Australia
[2] Univ Melbourne, Dept Urogynaecol, Mercy Hosp Women, Melbourne, Vic, Australia
[3] Monash Univ, Monash Med Ctr, Dept Urogynaecol, Melbourne, Vic 3004, Australia
来源：
INTERNATIONAL UROGYNECOLOGY JOURNAL | 2010年 / 21卷 / 02期
关键词：
Midurethral sling; Multivariate analysis; Outcome; Risk factors; Stress urinary incontinence; FREE VAGINAL TAPE; STANDARDIZATION SUB-COMMITTEE; CONTINENCE-SOCIETY; PRESSURE; TVT; QUESTIONNAIRE;
D O I：
10.1007/s00192-009-1020-9
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Midurethral sling (MUS) is now the first line surgical treatment for female stress urinary incontinence. Our aim was to identify predictors for MUS failure. A total of 1,225 consecutive women with urodynamic urinary stress incontinence had a synthetic MUS (955 retropubic and 270 transobturator) at our institution between 1999 and 2007. Multivariate analysis was performed in order to identify independent risk factors for failure. At a mean follow-up of 50 +/- 24 months (range, 12-114), the subjective cure rate was 84.7%. Multivariate analysis revealed that BMI > 25 (OR, 2.9), mixed incontinence (OR, 2.4), previous continence surgery (OR, 2.2), intrinsic sphincter deficiency (OR, 1.9), and diabetes mellitus (OR, 1.8) are significant independent predictors for MUS failure. Concomitant prolapse surgery decreased the likelihood of surgical failure after MUS (OR, 0.6). Patient's age and the type of the sling were not found to be risk factors for surgical failure.
引用
收藏
页码：149 / 155
页数：7
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