Document Detail


Factors predictive of outcome in tension-free vaginal tape procedure for urinary stress incontinence in a teaching hospital.
MedLine Citation:
PMID:  19495538     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: A study was performed to determine which patients' characteristics before tension-free vaginal tape (TVT) for stress incontinence are predictive of a failed outcome.
METHODS: A prospective cohort of 305 women with urinary stress incontinence underwent a TVT procedure in a teaching hospital. TVT was considered successful when the patient was fully satisfied and no leakage was seen at the standardized stress test. Logistic regression analysis examined the relationship between outcome and 32 pre-, intra-, and postoperative patient characteristics. All operations were done by trainees under supervision and assistance.
RESULTS AND CONCLUSIONS: Eighty one percent was successfully treated. Independent predictors of TVT failure were previous surgery for incontinence (P = 0.006), >2 pads/diapers per day before treatment (P = 0.012), chronic use of psychotropic medication (P = 0.012), and a more advanced age of the patient (P = 0.005). Postoperative urgency was independently related to preoperative urgency (P < 0.001). Independent predictors of postoperative dissatisfaction were urgency symptoms (P < 0.001) and the need for a re-intervention (P < 0.001).
Authors:
Hendrik Cammu; Elke Van Den Abbeele; Hellen Nagel; Patrick Haentjens
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Publication Detail:
Type:  Journal Article     Date:  2009-03-10
Journal Detail:
Title:  International urogynecology journal and pelvic floor dysfunction     Volume:  20     ISSN:  -     ISO Abbreviation:  Int Urogynecol J Pelvic Floor Dysfunct     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-04     Completed Date:  2009-09-03     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  9514583     Medline TA:  Int Urogynecol J Pelvic Floor Dysfunct     Country:  England    
Other Details:
Languages:  eng     Pagination:  775-80     Citation Subset:  IM    
Affiliation:
Division of Uro-Gynecology, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium. hendrik.cammu@uzbrussel.be
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Clinical Competence
Cohort Studies
Female
Gynecologic Surgical Procedures / adverse effects,  methods*
Hospitals, Teaching*
Humans
Logistic Models
Middle Aged
Patient Satisfaction
Predictive Value of Tests
Prospective Studies
Suburethral Slings*
Treatment Outcome
Urinary Incontinence, Stress / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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