The surgical management of recurrent stress urinary incontinence: a systematic review

Acta Obstetricia Et Gynecologica Scandinavica
Kostis I NikolopoulosStergios K Doumouchtsis

Abstract

Despite a wide spectrum of interventions, surgical treatments of recurrent stress urinary incontinence (SUI) are associated with high failure rates. To systematically review current evidence on the effectiveness of surgical interventions for recurrent SUI. An electronic database search was undertaken (1980-2014). Keywords were: "stress urinary incontinence," "failure," "recurrence," "treatment." References of identified studies and abstracts from conferences were considered. We restricted the search to female patients and currently used surgical procedures, including studies with five or more cases. After the initial yield, studies were selected following title screening, abstract and full text scrutiny. The pooled objective cure rates of colposuspension for recurrent SUI are 76% (95% CI ±5.04), whereas rates for midurethral sling procedures are 68.5% (95% CI ±3.11). Repeat midurethral sling procedures have pooled success rates of 66.2% (95% CI ±4) but those of the transobturator approach appear lower than retropubic procedures. Pubovaginal slings for recurrent SUI have pooled success of 79.3% (95% CI ±6.54). Success rates for adjustable continence therapy and adjustable slings for recurrent SUI are 53.8% (95% CI ±5.28), wherea...Continue Reading

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Citations

Jan 18, 2018·Neurourology and Urodynamics·Stefania PalmieriRodolfo Milani
Nov 25, 2017·International Urogynecology Journal·Tony BaziUNKNOWN IUGA Research and Development Committee
Jul 6, 2018·Neurourology and Urodynamics·Bernard T HaylenAngela Cross
Nov 20, 2016·World Journal of Urology·Mohamed Abdel-FattahAlyaa Mostafa
Aug 25, 2020·Current Opinion in Obstetrics & Gynecology·Jacqueline M Speed, Kavita Mishra

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