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SHR Neuro Cancer Cardio Lipid Metab Microb
Ulrich, D; Tammaa, A; Hölbfer, S; Trutnovsky, G; Bjelic-Radisic, V; Tamussino, K; Aigmüller, T.
Ten-Year Followup after Tension-Free Vaginal Tape-Obturator Procedure for Stress Urinary Incontinence.
J Urol. 2016; 196(4):1201-1206
Doi: 10.1016/j.juro.2016.05.036
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
- Gold ehem Ulrich Daniela
- Trutnovsky Gerda
- Co-authors Med Uni Graz
- Aigmüller Thomas
- Bjelic-Radisic Vesna
- Tammaa Ayman
- Tamussino Karl
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- Abstract:
- Suburethral tapes are a standard surgical treatment for stress urinary incontinence. The aim of the study was to evaluate subjective and objective cure rates 10 years after a tension-free vaginal tape-obturator procedure. All 124 patients who underwent the tension-free vaginal tape-obturator procedure at a total of 2 centers in 2004 and 2005 were invited for followup. Objective cure was defined as a negative cough stress test at 300 ml. Subjects completed KHQ (King's Health Questionnaire), IOQ (Incontinence Outcome Questionnaire), FSFI (Female Sexual Function Index Questionnaire) and PGI-I (Patient Global Impression of Improvement). Overall, 55 of 112 women (49%) who were alive were available for clinical examination and 71 (63%) completed the questionnaires. The objective cure rate in the 55 women examined clinically was 69%, 22% were not cured and 9% (5) had undergone reoperation for recurrent or persistent stress urinary incontinence. Treatment was counted as having failed in these 5 women for study purposes. Subjective cure was reported by 45 of 71 women (64%). Three patients (5%) had vaginal tape extrusion at the time of clinical examination. Extrusion in all of them was small and asymptomatic, and did not require treatment for a cumulative extrusion rate of 7%. Six women (9%) had undergone reoperation for tension-free vaginal tape-obturator associated complications and 18 (26%) experienced de novo overactive bladder. Subjective and objective cure rates 10 years after the tension-free vaginal tape-obturator procedure were 69% and 64%, respectively. The vaginal extrusion rate in this study was slightly higher than in other series but major long-term complications appeared to be rare. Copyright © 2016 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Follow-Up Studies -
- Forecasting -
- Humans -
- Male -
- Middle Aged -
- Quality of Life -
- Retrospective Studies -
- Suburethral Slings -
- Surveys and Questionnaires -
- Treatment Outcome -
- Urinary Incontinence, Stress - physiopathology
- Urinary Incontinence, Stress - surgery
- Urodynamics - physiology
- Urologic Surgical Procedures - methods
- Find related publications in this database (Keywords)
- urethra
- urinary incontinence, stress
- suburethral slings
- patient outcome assessment
- complications