Tags

Type your tag names separated by a space and hit enter

Patient related factors associated with long-term urinary continence after Burch colposuspension and pubovaginal fascial sling surgeries.
J Urol. 2012 Aug; 188(2):485-9.JU

Abstract

PURPOSE

We examined preoperative and postoperative patient related factors associated with continence status up to 7 years after surgery for stress urinary incontinence.

MATERIALS AND METHODS

Women randomized to Burch colposuspension or fascial sling surgery and assessed for the primary outcome of urinary continence 2 years after surgery were eligible to enroll in a prospective observational study. Survival analysis was used to investigate baseline and postoperative factors in the subsequent risk of stress urinary incontinence, defined as self-report of stress urinary incontinence symptoms, incontinence episodes on a 3-day diary or surgical re-treatment.

RESULTS

Of the women who participated in the randomized trial 74% (482 of 655) were enrolled in the followup study. Urinary continence rates decreased during a period of 2 to 7 years postoperatively from 42% to 13% in the Burch group and from 52% to 27% in the sling group, respectively. Among the baseline factors included in the first multivariable model age (p = 0.03), prior stress urinary incontinence surgery (p = 0.02), menopausal status (0.005), urge index (0.006), assigned surgery (p = 0.01) and recruiting site (p = 0.02) were independently associated with increased risk of incontinence. In the final multivariable model including baseline and postoperative factors, Burch surgery (p = 0.01), baseline variables of prior urinary incontinence surgery (p = 0.04), menopausal status (p = 0.03) and postoperative urge index (p <0.001) were each significantly associated with a greater risk of recurrent urinary incontinence.

CONCLUSIONS

Preoperative and postoperative urgency incontinence symptoms, Burch urethropexy, prior stress urinary incontinence surgery and menopausal status were negatively associated with long-term continence rates. More effective treatment of urgency urinary incontinence in patients who undergo stress urinary incontinence surgery may improve long-term overall continence status.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, University of Alabama at Birmingham, 619 19th St. South, 176 F, Suite 10382, Birmingham, Alabama 35249, USA. hrichter@uabmc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

22704099

Citation

Richter, Holly E., et al. "Patient Related Factors Associated With Long-term Urinary Continence After Burch Colposuspension and Pubovaginal Fascial Sling Surgeries." The Journal of Urology, vol. 188, no. 2, 2012, pp. 485-9.
Richter HE, Brubaker L, Stoddard AM, et al. Patient related factors associated with long-term urinary continence after Burch colposuspension and pubovaginal fascial sling surgeries. J Urol. 2012;188(2):485-9.
Richter, H. E., Brubaker, L., Stoddard, A. M., Xu, Y., Zyczynski, H. M., Norton, P., Sirls, L. T., Kraus, S. R., Chai, T. C., Zimmern, P., Gormley, E. A., Kusek, J. W., & Albo, M. E. (2012). Patient related factors associated with long-term urinary continence after Burch colposuspension and pubovaginal fascial sling surgeries. The Journal of Urology, 188(2), 485-9. https://doi.org/10.1016/j.juro.2012.04.010
Richter HE, et al. Patient Related Factors Associated With Long-term Urinary Continence After Burch Colposuspension and Pubovaginal Fascial Sling Surgeries. J Urol. 2012;188(2):485-9. PubMed PMID: 22704099.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patient related factors associated with long-term urinary continence after Burch colposuspension and pubovaginal fascial sling surgeries. AU - Richter,Holly E, AU - Brubaker,Linda, AU - Stoddard,Anne M, AU - Xu,Yan, AU - Zyczynski,Halina M, AU - Norton,Peggy, AU - Sirls,Larry T, AU - Kraus,Stephen R, AU - Chai,Toby C, AU - Zimmern,Philippe, AU - Gormley,E Ann, AU - Kusek,John W, AU - Albo,Michael E, AU - ,, Y1 - 2012/06/15/ PY - 2011/12/06/received PY - 2012/6/19/entrez PY - 2012/6/19/pubmed PY - 2013/7/9/medline SP - 485 EP - 9 JF - The Journal of urology JO - J Urol VL - 188 IS - 2 N2 - PURPOSE: We examined preoperative and postoperative patient related factors associated with continence status up to 7 years after surgery for stress urinary incontinence. MATERIALS AND METHODS: Women randomized to Burch colposuspension or fascial sling surgery and assessed for the primary outcome of urinary continence 2 years after surgery were eligible to enroll in a prospective observational study. Survival analysis was used to investigate baseline and postoperative factors in the subsequent risk of stress urinary incontinence, defined as self-report of stress urinary incontinence symptoms, incontinence episodes on a 3-day diary or surgical re-treatment. RESULTS: Of the women who participated in the randomized trial 74% (482 of 655) were enrolled in the followup study. Urinary continence rates decreased during a period of 2 to 7 years postoperatively from 42% to 13% in the Burch group and from 52% to 27% in the sling group, respectively. Among the baseline factors included in the first multivariable model age (p = 0.03), prior stress urinary incontinence surgery (p = 0.02), menopausal status (0.005), urge index (0.006), assigned surgery (p = 0.01) and recruiting site (p = 0.02) were independently associated with increased risk of incontinence. In the final multivariable model including baseline and postoperative factors, Burch surgery (p = 0.01), baseline variables of prior urinary incontinence surgery (p = 0.04), menopausal status (p = 0.03) and postoperative urge index (p <0.001) were each significantly associated with a greater risk of recurrent urinary incontinence. CONCLUSIONS: Preoperative and postoperative urgency incontinence symptoms, Burch urethropexy, prior stress urinary incontinence surgery and menopausal status were negatively associated with long-term continence rates. More effective treatment of urgency urinary incontinence in patients who undergo stress urinary incontinence surgery may improve long-term overall continence status. SN - 1527-3792 UR - https://www.unboundmedicine.com/medline/citation/22704099/Patient_related_factors_associated_with_long_term_urinary_continence_after_Burch_colposuspension_and_pubovaginal_fascial_sling_surgeries_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2012.04.010?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -