Repeat synthetic mid urethral sling procedure for women with recurrent stress urinary incontinence

Kobi Stav, Peter Dwyer, Anna Rosamilia, Lore Schierlitz, Yik Lim, Fay Chao, Alison De Souza, Elizabeth Thomas, Christine Murray, Christine Conway, Joseph Lee

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97 Citations (Scopus)

Abstract

Purpose: We reported and compared the outcomes of repeat mid urethral sling with primary mid urethral sling in women with stress urinary incontinence. Materials and Methods: A total of 1,225 consecutive women with urodynamic stress incontinence underwent a synthetic mid urethral sling procedure (955 retropubic, 270 transobturator) at our institution between 1999 and 2007. Of the patients 91 (1,112) were interviewed via telephone call with a structured questionnaire and were included in the analysis. Mean ? SD followup was 50 ? 24 months (range 12 to 114). A comparison between repeat (77, mean age 62 ? 12 years) and primary (1,035, mean age 60 ? 13 years) mid urethral sling groups was performed. Repeat sling was placed without removal of the previous sling. Results: The preoperative incidence of intrinsic sphincter deficiency was higher in patients who had a repeat mid urethral sling (31 vs 13 , p
Original languageEnglish
Pages (from-to)241 - 246
Number of pages6
JournalJournal of Urology
Volume183
Issue number1
DOIs
Publication statusPublished - 2010
Externally publishedYes

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