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Risk factors affecting cure after mid-urethral tape procedure for female urodynamic stress incontinence: comparison of retropubic and transobturator routes.
Urology. 2009 May; 73(5):981-6.U

Abstract

OBJECTIVES

To identify the risk factors affecting cure after the tension-free vaginal tape procedure (TVT) or transobturator tape procedure (TOT).

METHODS

A total of 121 women with urodynamically proved stress incontinence underwent TVT (n = 61) or TOT (n = 60). We analyzed all data with univariate and multivariate logistic regression analyses.

RESULTS

Univariate analysis revealed that a larger postvoid residual urine volume, greater pad weight test, and lower maximal flow rate were associated with a greater risk of failure to be cured after TVT. A lower maximal urethral closure pressure (MUCP) was associated with a greater risk of failure after the TOT procedure. With additional analysis, we found that a MUCP of <or=40 cm H(2)O (odds ratio [OR] 9.21, P = .004) was associated with a significantly greater risk of failure to be cured after the TOT procedure but not a MUCP of <o=50 cm H(2)O (OR 2.24, P = .21). Multivariate analysis revealed that preoperative detrusor overactivity was an independent risk factor affecting cure after TVT (OR 113.1, 95% confidence interval 1.84-6592.77, P = .02) or TOT (OR 23.7, 95% confidence interval 1.63-344.53, P = .02), and MUCP <o=40 cm H(2)O (OR 8.34, 95% confidence interval 1.52-45.65, P = .01) was another risk factor for TOT.

CONCLUSIONS

The risk factors affecting cure after mid-urethral tape procedures were preoperative detrusor overactivity for TVT and TOT and MUCP <o=40 cm H(2)O for TOT.

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Authors+Show Affiliations

Hsiao SM
Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Pan-Chiao, Taipei, Taiwan.
Chang TC
No affiliation info available
Lin HH
No affiliation info available

MeSH

AgedAnalysis of VarianceCohort StudiesConfidence IntervalsCystoscopyFemaleHumansLogistic ModelsMiddle AgedMultivariate AnalysisOdds RatioPostoperative ComplicationsPrognosisQuality of LifeRecovery of FunctionRecurrenceRisk FactorsSeverity of Illness IndexSuburethral SlingsUrethraUrinary Bladder, OveractiveUrinary Incontinence, StressUrodynamicsUrologic Surgical Procedures

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19285713

Citation

Hsiao, Sheng-Mou, et al. "Risk Factors Affecting Cure After Mid-urethral Tape Procedure for Female Urodynamic Stress Incontinence: Comparison of Retropubic and Transobturator Routes." Urology, vol. 73, no. 5, 2009, pp. 981-6.
Hsiao SM, Chang TC, Lin HH. Risk factors affecting cure after mid-urethral tape procedure for female urodynamic stress incontinence: comparison of retropubic and transobturator routes. Urology. 2009;73(5):981-6.
Hsiao, S. M., Chang, T. C., & Lin, H. H. (2009). Risk factors affecting cure after mid-urethral tape procedure for female urodynamic stress incontinence: comparison of retropubic and transobturator routes. Urology, 73(5), 981-6. https://doi.org/10.1016/j.urology.2009.01.004
Hsiao SM, Chang TC, Lin HH. Risk Factors Affecting Cure After Mid-urethral Tape Procedure for Female Urodynamic Stress Incontinence: Comparison of Retropubic and Transobturator Routes. Urology. 2009;73(5):981-6. PubMed PMID: 19285713.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk factors affecting cure after mid-urethral tape procedure for female urodynamic stress incontinence: comparison of retropubic and transobturator routes. AU - Hsiao,Sheng-Mou, AU - Chang,Ting-Chen, AU - Lin,Ho-Hsiung, Y1 - 2009/03/13/ PY - 2008/11/14/received PY - 2008/12/22/revised PY - 2009/01/02/accepted PY - 2009/3/17/entrez PY - 2009/3/17/pubmed PY - 2009/6/6/medline SP - 981 EP - 6 JF - Urology JO - Urology VL - 73 IS - 5 N2 - OBJECTIVES: To identify the risk factors affecting cure after the tension-free vaginal tape procedure (TVT) or transobturator tape procedure (TOT). METHODS: A total of 121 women with urodynamically proved stress incontinence underwent TVT (n = 61) or TOT (n = 60). We analyzed all data with univariate and multivariate logistic regression analyses. RESULTS: Univariate analysis revealed that a larger postvoid residual urine volume, greater pad weight test, and lower maximal flow rate were associated with a greater risk of failure to be cured after TVT. A lower maximal urethral closure pressure (MUCP) was associated with a greater risk of failure after the TOT procedure. With additional analysis, we found that a MUCP of <or=40 cm H(2)O (odds ratio [OR] 9.21, P = .004) was associated with a significantly greater risk of failure to be cured after the TOT procedure but not a MUCP of <o=50 cm H(2)O (OR 2.24, P = .21). Multivariate analysis revealed that preoperative detrusor overactivity was an independent risk factor affecting cure after TVT (OR 113.1, 95% confidence interval 1.84-6592.77, P = .02) or TOT (OR 23.7, 95% confidence interval 1.63-344.53, P = .02), and MUCP <o=40 cm H(2)O (OR 8.34, 95% confidence interval 1.52-45.65, P = .01) was another risk factor for TOT. CONCLUSIONS: The risk factors affecting cure after mid-urethral tape procedures were preoperative detrusor overactivity for TVT and TOT and MUCP <o=40 cm H(2)O for TOT. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/19285713/Risk_factors_affecting_cure_after_mid_urethral_tape_procedure_for_female_urodynamic_stress_incontinence:_comparison_of_retropubic_and_transobturator_routes_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(09)00071-5 DB - PRIME DP - Unbound Medicine ER -