Outcomes of Mid-Urethral Sling for Urodynamic Stress Incontinence Following Extensive Pelvic Reconstructive Surgery

Lo TS 1 , Alzabedi A 2 , Jhang LS 3 , Hsieh WC 4 , Kamarudin M 5 , Rellora LE 6

Affiliations 

  • 1 Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan City, 333, Taiwan. 2378@cgmh.org.tw
  • 2 International Medical Center (IMC) Hospital, Women Health Center, Jeddah, Saudi Arabia
  • 3 Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Tucheng, Medical Center, Taipei, Taiwan
  • 4 Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan City, 333, Taiwan
  • 5 Department of Obstetrics & Gynecology, Faculty of Medicine, Universiti Malaya, Jalan Profesor Diraja Ungku Aziz, 50603, Kuala Lumpur, Malaysia
  • 6 Department of Obstetrics and Gynecolog, Ospital Ng Lipa, Lipa City, Batangas, Philippines
Int Urogynecol J, 2024 Oct;35(10):2045-2054.
PMID: 39284970 DOI: 10.1007/s00192-024-05918-w

Abstract

INTRODUCTION AND HYPOTHESIS: To assess the outcomes of mid-urethral sling (MUS) procedures for urodynamic stress incontinence (USI) following extensive pelvic reconstructive surgery (PRS) and identify risk factors for persistent USI (P-USI).

METHODS: This retrospective study analyzed 84 women who underwent a staged approach to MUS for USI after PRS for advanced pelvic organ prolapse (Pelvic Organ Prolapse Quantification III and IV). The primary outcome was objective cure rate, defined by negative urine leakage on urodynamic study and a 1-h pad test weight of 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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