Recurrence of stress urinary incontinence in women treated with transobturator suburethral mesh: 9-year follow-up

Abstract

Objectives: The recurrence of SUI after surgery with TO represents a frequent complication whose etiology has not been clarified. Our study aims to establish the SUI recurrence rate in patients operated on at our center as well as to analyze the possible factors associated with the risk of recurrence, during a 9-year follow-up. Methods: Prospective descriptive observational study, conducted at the Hospital Clínico Universitario de Valladolid, between January 2012 and March 2021, including 133 patients. Results: Our study describes a recurrence rate of SUI after TO of 12%, with a statistically significant relationship (p 0.009) between the year of postoperative follow-up and the risk of recurrence. The risk of recurrence at 9 years was related to advanced age, macrosomic delivery, and multiparity. Conclusions: We must identify those patients whose risk factors allow us to anticipate a torpid evolution, considering therapeutic alternatives, for example, in young women or who have not completed their reproductive desire.