Impact of age on outcomes of midurethral sling procedures in women
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ORIGINAL ARTICLE
Impact of age on outcomes of midurethral sling procedures in women So Hyun Ahn 1 & Yun Jin Park 1 & Mi Kyung Kong 1 & Sang Wook Bai 1 Received: 29 April 2019 / Accepted: 26 August 2019 # The International Urogynecological Association 2019
Abstract Introduction and hypothesis Trans-obturator tape (TOT) and tension-free vaginal tape (TVT) comprise minimally invasive surgical management for stress urinary incontinence (SUI). The aim of this retrospective cohort study was to investigate outcomes of TOT and TVT among different age groups of women. Methods Medical records of patients who underwent TOT and TVT from January 2010 to December 2015 were reviewed. Patients were stratified into three groups according to age. All patients were interviewed routinely before and after surgery. The primary outcome was cure rate after surgery. Secondary outcomes included hospital stay, operative time, blood loss in surgery, and complication rate. A total of 616 patients diagnosed with SUI and 262 patients who had not undergone any concurrent surgery were eligible for study inclusion. Results A total of 616 patients diagnosed with SUI and 262 patients who had not undergone any concurrent surgery were eligible for study inclusion. There were 81 patients in group 1 (≤ 50 years), 97 patients in group 2 (51–59 years), and 84 patients in group 3 (≥ 60 years). After surgery, there were no significant differences in cure rates among the three groups (96.3% vs. 94.8% vs. 97.6%, P = 0.623). There were also no significant differences in operation time, blood loss, hospital stay, and complication rate among the three groups. When analyzing the TOT group (217 patients) and TVT group (45 patients) separately, primary and secondary outcomes did not differ significantly according to age group. Conclusions As surgical management for SUI, midurethral sling procedures, both TOT and TVT, were found to be safe and effective among different age groups. Keywords Age . Outcome . Urinary incontinence, stress . Trans-obturator tape . Tension-free vaginal tape
Introduction Stress urinary incontinence (SUI), defined as the involuntary leakage of urine on effort, exertion, sneezing, or coughing [1], affects between 12 and 46% of women [2, 3]. According to the Korean National Health Interview Survey, incontinence was reported by 24.4% of Korean women, and the most prevalent So Hyun Ahn and Yun Jin Park contributed equally to this work. Conference Presentations (1) Pelvic Floor Disorders (PFD) Week: American Urogynecologic Society (AUGS). (2) Hyatt Regency Chicago, Chicago, IL. (3) 9–13 October 2018. * Sang Wook Bai [email protected] 1
Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Institute of Women’s Life Medical Science, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, South Korea
type among them was SUI (48.8%) [4]. It is not only associated with significant physical morbidity, sexual dysfunction, loss of independence, and reduction in the quality of life, but is also of considerable economic importance for health s
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