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Long-term patient satisfaction after retropubic and transobturator mid-urethral slings for female stress urinary incontinence.
J Obstet Gynaecol Res. 2016 Sep; 42(9):1180-5.JO

Abstract

AIM

The aim of this study was to report long-term patient outcomes after retropubic and transobturator mid-urethral slings for female stress urinary incontinence.

METHODS

Women who underwent mid-urethral sling for stress urinary incontinence between 2000 and 2010 were invited to participate in a survey regarding their overall improvement. Patients' outcomes were assessed using the International Consultation on Incontinence Questionnaire - Short Form and the Global Response Assessment Scale.

RESULTS

The questionnaires were completed by 330 patients. Their median age at the time of surgery was 54.8 years (±12.9) and the median follow-up period was 11.9 years (±6.4). Retropubic and transobturator approaches were performed in 128 (38.8%) and 202 (61.2%) patients, respectively. The International Consultation on Incontinence Questionnaire - Short Form score dropped from an average of 14 (±4.1) to 6.4 (±6) with no significant difference between the two groups. The Global Response Assessment Scale showed an 9% greater improvement in the retropubic (66.4%) over the transobturator (57.4%) approach. De novo overactive bladder was the commonest long-term reported adverse event, affecting 18/330 patients (5.5%). Voiding dysfunction that required surgical correction following the retropubic approach occurred in three patients (2.3%).

CONCLUSION

Mid-urethral slings for the management of female stress urinary incontinence had good and durable long-term effects. Although the retropubic approach gave better results, they were not significantly different than those of the transobturator approach.

Authors+Show Affiliations

Department of Urology, College of Medicine, University of Dammam, Alkhobar, Saudi Arabia. aalzahrani@uod.edu.sa.Department of Urology, Dalhousie University, Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27279335

Citation

Al-Zahrani, Ali A., and Jerzy Gajewski. "Long-term Patient Satisfaction After Retropubic and Transobturator Mid-urethral Slings for Female Stress Urinary Incontinence." The Journal of Obstetrics and Gynaecology Research, vol. 42, no. 9, 2016, pp. 1180-5.
Al-Zahrani AA, Gajewski J. Long-term patient satisfaction after retropubic and transobturator mid-urethral slings for female stress urinary incontinence. J Obstet Gynaecol Res. 2016;42(9):1180-5.
Al-Zahrani, A. A., & Gajewski, J. (2016). Long-term patient satisfaction after retropubic and transobturator mid-urethral slings for female stress urinary incontinence. The Journal of Obstetrics and Gynaecology Research, 42(9), 1180-5. https://doi.org/10.1111/jog.13035
Al-Zahrani AA, Gajewski J. Long-term Patient Satisfaction After Retropubic and Transobturator Mid-urethral Slings for Female Stress Urinary Incontinence. J Obstet Gynaecol Res. 2016;42(9):1180-5. PubMed PMID: 27279335.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term patient satisfaction after retropubic and transobturator mid-urethral slings for female stress urinary incontinence. AU - Al-Zahrani,Ali A, AU - Gajewski,Jerzy, Y1 - 2016/06/08/ PY - 2015/08/26/received PY - 2016/03/25/accepted PY - 2016/6/10/entrez PY - 2016/6/10/pubmed PY - 2017/4/25/medline KW - mid-urethral sling KW - outcome KW - satisfaction KW - stress urinary incontinence SP - 1180 EP - 5 JF - The journal of obstetrics and gynaecology research JO - J Obstet Gynaecol Res VL - 42 IS - 9 N2 - AIM: The aim of this study was to report long-term patient outcomes after retropubic and transobturator mid-urethral slings for female stress urinary incontinence. METHODS: Women who underwent mid-urethral sling for stress urinary incontinence between 2000 and 2010 were invited to participate in a survey regarding their overall improvement. Patients' outcomes were assessed using the International Consultation on Incontinence Questionnaire - Short Form and the Global Response Assessment Scale. RESULTS: The questionnaires were completed by 330 patients. Their median age at the time of surgery was 54.8 years (±12.9) and the median follow-up period was 11.9 years (±6.4). Retropubic and transobturator approaches were performed in 128 (38.8%) and 202 (61.2%) patients, respectively. The International Consultation on Incontinence Questionnaire - Short Form score dropped from an average of 14 (±4.1) to 6.4 (±6) with no significant difference between the two groups. The Global Response Assessment Scale showed an 9% greater improvement in the retropubic (66.4%) over the transobturator (57.4%) approach. De novo overactive bladder was the commonest long-term reported adverse event, affecting 18/330 patients (5.5%). Voiding dysfunction that required surgical correction following the retropubic approach occurred in three patients (2.3%). CONCLUSION: Mid-urethral slings for the management of female stress urinary incontinence had good and durable long-term effects. Although the retropubic approach gave better results, they were not significantly different than those of the transobturator approach. SN - 1447-0756 UR - https://www.unboundmedicine.com/medline/citation/27279335/Long_term_patient_satisfaction_after_retropubic_and_transobturator_mid_urethral_slings_for_female_stress_urinary_incontinence_ L2 - https://doi.org/10.1111/jog.13035 DB - PRIME DP - Unbound Medicine ER -