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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
Doi: 10.1371/journal.pone.0201167
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- Co-Autor*innen der Med Uni Graz
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Gold ehem Ulrich Daniela
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Tamussino Karl
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- Abstract:
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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)
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Adult -
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Age Factors -
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Aged -
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Aged, 80 and over -
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Aged, 80 and over -
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Body Mass Index -
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Data Interpretation, Statistical -
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Female -
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Humans -
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Middle Aged -
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Parity -
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Pregnancy -
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Prospective Studies -
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Quality of Life -
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Suburethral Slings -
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Treatment Outcome -
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Urinary Incontinence, Stress - surgery