What are the Predictive Factors of the Cure and Complication Rates for Midurethral Slings in the Treatment of Stress Urinary Incontinence in Women: A Multicenter and Multivariate Analysis Study

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dc.contributor.authorCitgez, Sinharib
dc.contributor.authorDemirkesen, Oktay
dc.contributor.authorMangir, Naside
dc.contributor.authorSimsir, Adnan
dc.contributor.authorOzyurt, Ceyhun
dc.contributor.authorCiftci, Seyfettin
dc.contributor.authorOzkurkcugil, Cuneyd
dc.contributor.authorIrkilata, Lokman
dc.contributor.authorSen, Ilker
dc.contributor.authorTarcan, Tufan
dc.contributor.authorCetinel, Bulent
dc.date.accessioned2019-10-27T11:05:33Z
dc.date.available2019-10-27T11:05:33Z
dc.date.issued2017
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: Predictive factors that could affect the cure and complication rates of midurethral slings (MUS) in the treatment of stress urinary incontinence (SUI) were investigated. Materials and Methods: A total of 594 women (outside-in transobturator in 285, inside-out transobturator in 91, and retropubic in 218) with SUI and who had undergone MUS were evaluated. The median age was 53.9 (27-82) years. Univariate analyses were done using chi-square test, Student's t-test and the Mann-Whitney U test. Multivariate analyses were done using logistic regression analysis to determine predictive factors affecting cure and complication rates. Results: The mean follow-up time was 48 months. The subjective cure rate was 84% and complication rate was 11.2%. On univariate and multivariate analyses, the cure rate was found to be increased in younger patients [odds ratio (OR): 0.97, 95% confidence interval (CI): 0.95-0.99, p=0.038] and in patients with pure SUI (OR: 2.17, 95% CI: 1.31-3.60, p=0.002). The type of surgery was the only statistically significant parameter affecting the complication rate, which was significantly higher in retropubic MUS procedure (OR: 6.28, 95% CI: 3.51-11.22, p<0.001). Conclusion: MUS is an effective and safe surgical procedure in the treatment of SUI. In this study, age and type of incontinence were the only significant predictive factors affecting the cure rate. Our study suggests that retropubic approach could be considered a risk factor for complication after MUS.en_US
dc.identifier.doi10.4274/jus.1334
dc.identifier.endpage116en_US
dc.identifier.issn2148-9580
dc.identifier.issue3en_US
dc.identifier.startpage109en_US
dc.identifier.urihttps://doi.org/10.4274/jus.1334
dc.identifier.urihttps://hdl.handle.net/11454/31696
dc.identifier.volume4en_US
dc.identifier.wosWOS:000419241300002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofJournal of Urological Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectStress urinary incontinenceen_US
dc.subjectmidurethral slingen_US
dc.subjecttransobturatoren_US
dc.subjectretropubicen_US
dc.subjectcomplicationen_US
dc.titleWhat are the Predictive Factors of the Cure and Complication Rates for Midurethral Slings in the Treatment of Stress Urinary Incontinence in Women: A Multicenter and Multivariate Analysis Studyen_US
dc.typeArticleen_US

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