Long-term Risk of Reoperation After Synthetic Mesh Midurethral Sling Surgery for Stress Urinary Incontinence.

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.

Author(s)Source
Berger AA, Tan-Kim J, Menefee SA
2019 Nov;134(5):1047-1055. doi: 10.1097/AOG.0000000000003526.
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