Impact of age on outcomes of midurethral sling procedures in women
- 26 Downloads
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.
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.
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.
As surgical management for SUI, midurethral sling procedures, both TOT and TVT, were found to be safe and effective among different age groups.
KeywordsAge Outcome Urinary incontinence, stress Trans-obturator tape Tension-free vaginal tape
All authors have approved the submitted version of the manuscript.
SH Ahn: methodology, data collection and management, data analysis, manuscript writing, manuscript editing.
YJ Park: project development, methodology, data management, manuscript writing, manuscript editing.
MK Kong: project development, manuscript editing.
SW Bai: project development, manuscript editing.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- 3.Ford AA, Rogerson L, Cody JD, Aluko P, Ogah JA. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 2017. https://doi.org/10.1002/14651858.CD006375.pub3.
- 6.Wagner TH, Moore KH, Subak LL, de Wachter S, Dudding T. Economics of urinary & faecal incontinence, and prolapse. In: Abrams P, Cardozo L, Wagg A, Wein A, editors. Incontinence: 6th International Consultation on Incontinence, Tokyo, September 2016. 6th ed. Bristol: International Continence Society (ICS) and International Consultation on Urological Diseases (ICUD); 2017. p. 2479–511.Google Scholar
- 8.Fusco F, Abdel-Fattah M, Chapple CR, Creta M, La Falce S, Waltregny D, et al. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol. 2017;72:567–91.CrossRefGoogle Scholar
- 9.Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric. 2018:1–6.Google Scholar
- 11.Delorme E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol. 2001;11:1306–13.Google Scholar
- 13.Laterza RM, Halpern K, Ulrich D, Graf A, Tamussino K, Umek W, et al. Influence of age, BMI and parity on the success rate of midurethral slings for stress urinary incontinence. PLoS One. 2018;13(8).Google Scholar
- 15.Lee M, Lim KJ, Moon YJ, Kim SK, Bai SW. Outcome of mid urethral sling procedures according to age. Korean Journal of Obstetrics and Gynecology. 2009;52:850–6.Google Scholar