Mp23-10 the Long-Term Rate of Re-Operation After Mid-Urethral Sling Insertion Among Women With Urinary Incontinence: Population-Based Study

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Female Incontinence (MP23)1 May 2024MP23-10 THE LONG-TERM RATE OF RE-OPERATION AFTER MID-URETHRAL SLING INSERTION AMONG WOMEN WITH URINARY INCONTINENCE: POPULATION-BASED STUDY Jae Young Cho, Jeongjoo Park, Younjuong Kim, Mina Kim, Sang Hoon Song, and Juhyun Park Jae Young ChoJae Young Cho , Jeongjoo ParkJeongjoo Park , Younjuong KimYounjuong Kim , Mina KimMina Kim , Sang Hoon SongSang Hoon Song , and Juhyun ParkJuhyun Park View All Author Informationhttps://doi.org/10.1097/01.JU.0001008776.99097.8a.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: There is a growing concern regarding the outcomes of midurethral sling insertion for women experiencing stress urinary incontinence (SUI). However, limited evidence exists regarding the long-term effects. This study aimed to evaluate the rates of reoperation and associated risks in women who underwent midurethral sling insertion for SUI. METHODS: The study included a cohort of 221,082 women aged 20 years and older who had undergone midurethral sling insertion for stress urinary incontinence (SUI) between 2009 and 2015. The patients were monitored for a minimum period of 6 years to assess reoperation rates. Data for the analysis were sourced from the National Health Claims Database of the National Health Insurance Service (NHIS) in Korea. Multiple Cox regression analysis was employed to explore potential risk factors associated with the need for SUI reoperation. RESULTS: The reoperation rate after midurethral sling insertion was found to be 0.8% at 1 year, 2.7% at 5 years, 4.6% at 10 years, and 4.8% at 12 years. Multivariate analysis indicated that younger age (below 60 years) was associated with a higher risk of reoperation (odds ratio OR 1.957, p<0.001). The presence of voiding dysfunctions such as overactive bladder (OR 2.308, p<0.001) and neurogenic bladder (OR 2.308, p<0.001) was also significantly related to reoperation. Furthermore, a medical history of diabetes was identified as a risk factor for higher rates of reoperation for SUI. CONCLUSIONS: Among women who underwent midurethral sling insertion, the estimated reoperation rates at the 12-year mark were determined to be 4.8%. Factors such as younger age, history of diabetes, and underlying voiding dysfunctions were found to be associated with an increased risk of reoperation. These findings offer valuable guidance for women and their surgeons when making informed decisions about surgical treatment for stress urinary incontinence. Download PPTDownload PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e385 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Jae Young Cho More articles by this author Jeongjoo Park More articles by this author Younjuong Kim More articles by this author Mina Kim More articles by this author Sang Hoon Song More articles by this author Juhyun Park More articles by this author Expand All Advertisement PDF downloadLoading ...