Details

Autor(en) / Beteiligte

• Houwert, R. Marijn, MD
• Venema, Pieter L., MD, PhD
• Aquarius, Annelies E., PhD
• Bruinse, Hein W., MD, PhD
• Roovers, Jan Paul W.R., MD, PhD
• Vervest, Harry A.M., MD, PhD

Titel

Risk factors for failure of retropubic and transobturator midurethral slings

Ist Teil von

• American journal of obstetrics and gynecology, 2009-08, Vol.201 (2), p.202.e1-202.e8

Ort / Verlag

New York, NY: Mosby, Inc

Erscheinungsjahr

2009

Quelle

MEDLINE

Beschreibungen/Notizen

• Objective The aim of our study was to identify and compare risk factors for failure of retropubic and transobturator procedures. Study Design This was a retrospective cohort study. Women with predominant stress urinary incontinence who underwent a retropubic (n = 214) or transobturator tape procedure (n = 173) were included. Therapy was considered to have failed in women reporting any amount of urine leakage during stress after 2 and/or 12 months. Results Risk factors for failure were mixed urinary incontinence (MUI; odds ratio [OR], 3.7; 95% confidence interval [CI], 1.5-9.1) and the observation of detrusor overactivity (DO) at urodynamics (OR, 8.6; 95% CI, 1.9-39.4) in the retropubic group. Reporting a history of previous incontinence surgery (OR, 3.9; 95% CI, 1.3-11.7) and a low mean urethral closure pressure (MUCP) at urodynamics (OR, 14.5; 95% CI, 1.5-139.0) were risk factors for failure in the transobturator group. Conclusion Women with previous incontinence surgery or a low MUCP might benefit more from a retropubic sling, whereas a transobturator procedure might be preferable in women with MUI or DO.