Results of primary versus recurrent surgery to treat stress urinary incontinence in women
| العنوان: | Results of primary versus recurrent surgery to treat stress urinary incontinence in women |
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| المؤلفون: | John Heesakkers, Mark E. Vierhout, Maarten J. van der Doelen, Mariella I. J. Withagen |
| المصدر: | International Urogynecology Journal International Urogynecology Journal, 26, 7, pp. 997-1005 International Urogynecology Journal, 26, 997-1005 International Urogynecology Journal And Pelvic Floor Dysfunction, 26(7), 997. Springer London |
| بيانات النشر: | Springer London, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Reoperation, Adult, medicine.medical_specialty, Urology, Urinary Incontinence, Stress, Suburethral Sling, Treatment outcome, Urinary incontinence, Stress, Gynecologic surgical procedures, Young Adult, Gynecologic Surgical Procedures, Recurrence, Obstetrics and Gynaecology, Journal Article, Medicine, Humans, Comparative Study, In patient, Young adult, Aged, Retrospective Studies, Aged, 80 and over, business.industry, Other Research Radboud Institute for Health Sciences [Radboudumc 0], Obstetrics and Gynecology, Retrospective cohort study, Middle Aged, Surgery, Reconstructive and regenerative medicine Radboud Institute for Molecular Life Sciences [Radboudumc 10], Treatment Outcome, Original Article, Female, medicine.symptom, business, Complication, Suburethral slings |
| الوصف: | Contains fulltext : 153880.pdf (Publisher’s version ) (Open Access) INTRODUCTION AND HYPOTHESIS: We compared cure rates and complication rates in patients who had undergone primary or recurrent (secondary) surgery for stress urinary incontinence (SUI). METHODS: A retrospective cohort study that included patients who underwent surgery to treat SUI in a tertiary referral center was carried out. All patients had, predominantly, SUI. Exclusion criteria were patients with a neurogenic bladder or a neobladder and patients without postoperative follow-up (FU). The primary objective was to assess the success rate, defined as cured SUI or improved SUI at six weeks and at the latest available moment of FU. The secondary objective was to assess complications. RESULTS: A total of 541 women with SUI underwent surgery for SUI between 2002 and 2010. After exclusion of 102 patients a total of 242 patients with primary SUI and 197 patients with recurrent SUI were identified. The success rate at first FU was 89 %. At last FU (median 205 days) the success rate was 83 % (P < 0.01). There were no significant differences in success rate between primary and recurrent surgery at first FU. The overall success rate of primary surgery was 86 %; for recurrent surgery it was 79 %. During surgery, 27 bladder injuries occurred (6.2 %), with no significant difference between the two groups. At last FU, 11 patients (2.6 %) had persistent residual volume, necessitating prolonged clean intermittent self-catheterization. CONCLUSIONS: The results of recurrent surgery to treat recurrent or persistent SUI are still good in experienced hands and do not significantly differ from results of primary surgery. The complication rates are comparable to those of primary surgery. |
| وصف الملف: | application/pdf; image/pdf |
| اللغة: | English |
| تدمد: | 1433-3023 0937-3462 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d1b458ac622d5040015b422936c21e76Test http://europepmc.org/articles/PMC4486111Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d1b458ac622d5040015b422936c21e76 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14333023 09373462 |
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