Posted in NEWS, NEWS on urogenital system implants
Long-term Risk of Reoperation After Synthetic Mesh Midurethral Sling Surgery for Stress Urinary Incontinence.
30 November 2019
| This retrospective cohort study evaluated all patients who underwent a midurethral sling surgery for stress urinary incontinence (SUI) (2005-2016) within a large managed care organization of 4.5 million members. | |
| In this cohort of 17,030 patients treated with primary midurethral slings, the overall reoperation rate was 2.1% at 1 year, 4.5% at 5 years, and 6.0% at 9 years. Risk of reoperation was affected by race (P=.04), with Asian or Pacific Islander patients having a lower reoperation rate when compared with white patients. Reoperation rate for mesh revision or removal was 0.7% at 1 year, 1.0% at 5 years, and 1.1% at 9 years. Reoperation for recurrent SUI was 1.6% at 1 year, 3.9% at 5 years, and 5.2% at 9 years. Risk of reoperation for recurrent SUI was affected by the type of sling, with reoperation more common after single-incision compared with retropubic sling.
CONCLUSION: Midurethral slings have a low long-term risk of reoperation for mesh revision or removal, and recurrent SUI, adding to the evidence of their safety and efficacy for the treatment of women with SUI. |
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| Author(s) | Source |
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Berger AA, Tan-Kim J, Menefee SA
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Obstet Gynecol. 2019 Nov;134(5):1047-1055. doi: 10.1097/AOG.0000000000003526. |
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