1775 DURABLE LONG-TERM IMPROVEMENTS IN CONTINENCE WITH THE USE OF RETROPUBIC MID-URETHRAL POLYPROPYLENE SLING

Abstract

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Incontinence - Evaluation & Therapy III1 Apr 20101775 DURABLE LONG-TERM IMPROVEMENTS IN CONTINENCE WITH THE USE OF RETROPUBIC MID-URETHRAL POLYPROPYLENE SLING Jason Kim, Alvaro Lucioni, Fred Govier, and Kathleen Kobashi Jason KimJason Kim More articles by this author , Alvaro LucioniAlvaro Lucioni More articles by this author , Fred GovierFred Govier More articles by this author , and Kathleen KobashiKathleen Kobashi More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1685AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The efficacy of retropubic mid-urethral polypropylene slings (MUS) has been previously shown. However, long term data has been lacking. We examined our series of MUS to determine long-term continence, improvement and, patient satisfaction rates and compare these results with a cohort of patients with shorter-term follow-up. METHODS A retrospective review of prospectively collected data of all patients undergoing placement of MUS with minimum 1 year follow-up was performed. Each patient was mailed a post-operative questionnaire to assess outcomes. We compared patients with follow-up ¡Ý60 months to those with follow-up <60 months. Outcomes included patient-perceived improvement, satisfaction and degree of post-operative stress urinary incontinence (SUI). We defined success as <1 incontinence episode/week or ¡Ý70% improvement RESULTS A total of 237 of 346 patients who underwent placement of MUS were at least one year post-op and had answered follow-up questionnaires. Outcomes of the entire population are seen in table 1. The average follow-up was 45 months. 161 patients had follow-up between 12 and 60 months (group 1), while 76 patients had follow-up ¡Ý60 months (group 2). The average follow-up times for group 1 and 2 were 33.6 and 67 months, respectively and were significantly different (p<0.00001). Outcomes comparing these 2 groups are listed in table 1. Degree of SUI, patient-perceived improvement, satisfaction, and success rates were quite similar between the 2 groups and not significantly different. CONCLUSIONS Our data show that placement of retropubic MUS are quite efficacious even with extended follow-up. The results suggest that outcomes do not significantly worsen over time. Seattle, WA© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e687 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jason Kim More articles by this author Alvaro Lucioni More articles by this author Fred Govier More articles by this author Kathleen Kobashi More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...