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Repeat surgery after failed midurethral slings: a nationwide cohort study, 1998-2007.
Int Urogynecol J. 2016 Jul; 27(7):1013-9.IU

Abstract

INTRODUCTION AND HYPOTHESIS

The objective was to describe the choice of subsequent surgery after failure of synthetic midurethral slings (MUS) based on a nationwide background population.

METHODS

We used the Danish National Patient Registry to identify women who had undergone first-time synthetic MUS from 1998 through 2007. The outcome was repeat surgery with any subsequent procedure code for urinary incontinence within a 5-year period of the first procedure.

RESULTS

A total of 5,820 women (mean age 55.4 years, ± 12.1) were registered with a synthetic MUS, and 354 (6 %) underwent reoperation. The first-choice treatment for reoperation was a synthetic MUS (45.5 %) followed by urethral injection therapy (36.7 %) and miscellaneous operations (13.8 %). Pubovaginal slings (2.8 %) and Burch colposuspension (1.1 %) were seldom used. At reoperation, 289 women (82 %) were treated at the department where they had undergone their primary synthetic MUS.

CONCLUSION

In this nationwide cohort study of synthetic MUS a repeat synthetic MUS was the first choice and urethral injection therapy a frequent second choice. The majority of reoperations (82 %) took place in the same department as the primary operation.

Authors+Show Affiliations

Center for Clinical Epidemiology, South, Odense University Hospital and Research Unit of Clinical Epidemiology, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark. mfoss@health.sdu.dk.Herlev Hospital, Department of Obstetrics and Gynaecology, Herlev, and Institute for Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.Herlev Hospital, Department of Obstetrics and Gynaecology, Herlev, and Institute for Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.Center for Clinical Epidemiology, South, Odense University Hospital and Research Unit of Clinical Epidemiology, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26713329

Citation

Hansen, Margrethe Foss, et al. "Repeat Surgery After Failed Midurethral Slings: a Nationwide Cohort Study, 1998-2007." International Urogynecology Journal, vol. 27, no. 7, 2016, pp. 1013-9.
Hansen MF, Lose G, Kesmodel US, et al. Repeat surgery after failed midurethral slings: a nationwide cohort study, 1998-2007. Int Urogynecol J. 2016;27(7):1013-9.
Hansen, M. F., Lose, G., Kesmodel, U. S., & Gradel, K. O. (2016). Repeat surgery after failed midurethral slings: a nationwide cohort study, 1998-2007. International Urogynecology Journal, 27(7), 1013-9. https://doi.org/10.1007/s00192-015-2925-0
Hansen MF, et al. Repeat Surgery After Failed Midurethral Slings: a Nationwide Cohort Study, 1998-2007. Int Urogynecol J. 2016;27(7):1013-9. PubMed PMID: 26713329.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Repeat surgery after failed midurethral slings: a nationwide cohort study, 1998-2007. AU - Hansen,Margrethe Foss, AU - Lose,Gunnar, AU - Kesmodel,Ulrik Schiøler, AU - Gradel,Kim Oren, Y1 - 2015/12/28/ PY - 2015/10/01/received PY - 2015/12/02/accepted PY - 2015/12/30/entrez PY - 2015/12/30/pubmed PY - 2017/8/31/medline KW - Midurethral slings KW - Reoperation KW - Repeat surgery KW - Tension-free vaginal tape KW - Transobturator tape SP - 1013 EP - 9 JF - International urogynecology journal JO - Int Urogynecol J VL - 27 IS - 7 N2 - INTRODUCTION AND HYPOTHESIS: The objective was to describe the choice of subsequent surgery after failure of synthetic midurethral slings (MUS) based on a nationwide background population. METHODS: We used the Danish National Patient Registry to identify women who had undergone first-time synthetic MUS from 1998 through 2007. The outcome was repeat surgery with any subsequent procedure code for urinary incontinence within a 5-year period of the first procedure. RESULTS: A total of 5,820 women (mean age 55.4 years, ± 12.1) were registered with a synthetic MUS, and 354 (6 %) underwent reoperation. The first-choice treatment for reoperation was a synthetic MUS (45.5 %) followed by urethral injection therapy (36.7 %) and miscellaneous operations (13.8 %). Pubovaginal slings (2.8 %) and Burch colposuspension (1.1 %) were seldom used. At reoperation, 289 women (82 %) were treated at the department where they had undergone their primary synthetic MUS. CONCLUSION: In this nationwide cohort study of synthetic MUS a repeat synthetic MUS was the first choice and urethral injection therapy a frequent second choice. The majority of reoperations (82 %) took place in the same department as the primary operation. SN - 1433-3023 UR - https://www.unboundmedicine.com/medline/citation/26713329/Repeat_surgery_after_failed_midurethral_slings:_a_nationwide_cohort_study_1998_2007_ L2 - https://dx.doi.org/10.1007/s00192-015-2925-0 DB - PRIME DP - Unbound Medicine ER -