TORNA ALL’ELENCO

A multicenter analysis after mid-urethral sling for female urinary incontinence. Do preoperative variables predict the outcome? in Neurourology and Urodynamics

2014
ASL Cuneo 1

Tipo pubblicazione

Conference Abstract

Autori/Collaboratori (14)Vedi tutti...

Costantini E

Li Marzi V

Serati M


et alii...

Abstract

INTRODUCTION AND AIM OF THE STUDY Stress urinary incontinence (SUI) may have a considerable impact on personal lifestyle and health-related quality of life. Mid-Urethral sling (MUS) surgery has become the gold-standard of female SUI treatment because of its efficacy and low complication rates. However, the value of various pre-operative parameters in predicting the post-operative outcome of the MUS surgery for the treatment of SUI is still controversial. Aim of this study is to analyze predictive parameters linked to outcome in female patients who underwent MUS for SUI or MUI. We report the results of a retrospective multicenter trial in which all data regarding patients treated with trans-obturator (TO) or retrobupic (RP) MUS were included in a database to perform a statistical analysis. MATERIALS AND METHODS Data of transvaginal procedure of TO or RP MUS from eight Italian centers were included in a database. All patients underwent surgery between Jan 2009 and Dec 2010. Inclusion criteria: female patients with SUI or MU with prevalence of stress symptoms and at least a 2 years followup period. Variables evaluated: demographic data, BMI, pre and post-operative assessment including voiding and storage symptoms, incontinence outcome (subjective cure: patient reporting no urinary leakage during physical activity, coughing or sneezing and no pads use; objective cure: negative stress test; considered dry: subjective and objective cured patients) (Table I), VAS scale (0-10) for satisfaction, pre-operative urodynamic parameters (uroflowmetry, filling cystometry and pressure flow study, terms and definitions according to ICS) (Table II). Statistical Analysis: The Chi square and Mann-Whitney tests were used to analyze categorical and non parametric continuous independent data, respectively. Data analyses were performed by using IBM SPSS rel. 21.0, 2012. (Figure presented) RESULTS 361 patients (mean age 58.5±9.7 years)who had performed TO (269) or RP (92) MUS were ev

DOI : 10.1002/nau.22620

Keywords

anal canal; disability; normal distribution; software; behavior disorder; seat; clinical study; pathology; flatulence; clinical trial (topic); sample size; hospital patient; consciousness; tube; Glasgow coma scale; fiber; pelvic floor disorder; body weight gain; Student t test; rating scale; acquired brain injury; injury; brain; rehabilitation; intestine; neurologic disease; blood; nutrition; nerve; frontal cortex; rank sum test; medical literature; follow up; hospitalization; human; patient; pelvis floor; urology; continence; society; neurogenic bowel; brain injury; cingulate gyrus; cerebrovascular accident; liquid feces; stimulus; defecation; neurophysiology; subarachnoid hemorrhage; solid; hypoxic ischemic encephalopathy; brain hemorrhage; traumatic brain injury; feces incontinence; cognitive defect; medical history; physical medicine; examination; neurologic examination; infection; bladder; diseases; medical specialist; body position; male; model; female; gender; enteric feeding; endoscopy; bone lesion; pelvic girdle; tracheotomy; artificial ventilation; coma; minimally conscious state; stress incontinence; persistent vegetative state; drug therapy; gastrointestinal tract; case study; feeding; Clostridioides difficile; McNemar test; data analysis software; stomach tube;