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Laterza, RM; Halpern, K; Ulrich, D; Graf, A; Tamussino, K; Umek, W; Austrian TVT vs. TVT-O Study Group.
Influence of age, BMI and parity on the success rate of midurethral slings for stress urinary incontinence.
PLoS One. 2018; 13(8):e0201167-e0201167 [OPEN ACCESS]
Web of Science PubMed PUBMED Central FullText FullText_MUG

 

Autor/innen der Med Uni Graz:
Gold (ehem. Ulrich) Daniela
Tamussino Karl
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Abstract:
Our aim was to evaluate, in a second data analysis of the prospective randomized controlled trial conducted by Austrian Urogynaecology Working Group, the effect of age, BMI and parity at the time of surgery on short- and long-term outcomes of women primarily treated for SUI (stress urinary incontinence) with midurethral slings. In the original study 554 patients received randomly a retropubic (TVT) or a transobturator midurethral (TVT-O) sling procedure. 480 (87%) and 277 (50%) patients were available for a follow-up efficacy evaluation at 3 months and 5 years respectively. Higher age and BMI at surgery appear to lead to a larger probability to have a positive stress test 5 years after surgery, but not after 3 months. Older patients seem to have a worse perception of improvement 5 years after surgery as compared to younger ones, as described by the PGI-I score. Age and BMI do not affect significantly the quality of life of women surgically treated for SUI, as reflected by the results of King´s Health Questionnaire. Parity does not seem to have any effect on objective and subjective surgical outcomes. Higher age and BMI at surgery have a detrimental influence on the objective cure rate at 5 years after midurethral sling surgery; higher age also has a negative influence on subjective long-term outcomes. However, these demographic parameters do not influence significantly the quality of life of patients after anti-incontinence surgery. Parity does not show any significant influence on success rate of midurethral sling.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Age Factors -
Aged -
Aged, 80 and over -
Aged, 80 and over -
Body Mass Index -
Data Interpretation, Statistical -
Female -
Humans -
Middle Aged -
Parity -
Pregnancy -
Prospective Studies -
Quality of Life -
Suburethral Slings -
Treatment Outcome -
Urinary Incontinence, Stress - surgery

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