Academic Journal
PLOS ONE / Influence of age, BMI and parity on the success rate of midurethral slings for stress urinary incontinence
| العنوان: | PLOS ONE / Influence of age, BMI and parity on the success rate of midurethral slings for stress urinary incontinence |
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| المؤلفون: | Laterza, Rosa Maria, Halpern, Ksenia, Ulrich, Daniela, Graf, Alexandra, Tamussino, Karl, Umek, Wolfgang |
| بيانات النشر: | Public Library of Science |
| سنة النشر: | 2018 |
| المجموعة: | MedUni Vienna ePub (Medzinische Universität Wien) |
| جغرافية الموضوع: | UMW:14533, UMW:14620 |
| الوصف: | Aims Our aim was to evaluate, in a second data analysis of the prospective randomized controlled trial conducted by Austrian Urogynaecology Working Group, the effect of age, BMI and parity at the time of surgery on short- and long-term outcomes of women primarily treated for SUI (stress urinary incontinence) with midurethral slings. Methods In the original study 554 patients received randomly a retropubic (TVT) or a transobturator midurethral (TVT-O) sling procedure. 480 (87%) and 277 (50%) patients were available for a follow-up efficacy evaluation at 3 months and 5 years respectively. Results Higher age and BMI at surgery appear to lead to a larger probability to have a positive stress test 5 years after surgery, but not after 3 months. Older patients seem to have a worse perception of improvement 5 years after surgery as compared to younger ones, as described by the PGI-I score. Age and BMI do not affect significantly the quality of life of women surgically treated for SUI, as reflected by the results of King´s Health Questionnaire. Parity does not seem to have any effect on objective and subjective surgical outcomes. Conclusions Higher age and BMI at surgery have a detrimental influence on the objective cure rate at 5 years after midurethral sling surgery; higher age also has a negative influence on subjective long-term outcomes. However, these demographic parameters do not influence significantly the quality of life of patients after anti-incontinence surgery. Parity does not show any significant influence on success rate of midurethral sling. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text/html |
| اللغة: | English |
| تدمد: | 1932-6203 |
| Relation: | vignette : https://repositorium.meduniwien.ac.at/titlepage/urn/urn:nbn:at:at-ubmuw:3-13170/128; urn:nbn:at:at-ubmuw:3-13170; https://resolver.obvsg.at/urn:nbn:at:at-ubmuw:3-13170; local:99145313403603331; system:AC15610361 |
| DOI: | 10.1371/journal.pone.0201167 |
| الاتاحة: | https://resolver.obvsg.at/urn:nbn:at:at-ubmuw:3-13170 https://doi.org/10.1371/journal.pone.0201167 https://repositorium.meduniwien.ac.at/doi/10.1371/journal.pone.0201167 |
| Rights: | cc-by_4 |
| رقم الانضمام: | edsbas.4BA4EA23 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 19326203 |
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| DOI: | 10.1371/journal.pone.0201167 |