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Research Article Volume 11 Issue 4
Risk factors of recurrence of stress urinary incontinence after single-incision sling at 5 years
De Miguel Manso S, García García E, Gobernado Tejedor J, Viruega Cuaresma D, Badillo Bercebal CE, González Martín JI
Faculty of Medicine, Department of Gynecology and Obstetrics, Clinic Universitary Hospital of Valladolid, University of Valladolid, Spain
Department of Gynecology and Obstetrics, Clinic Universitary Hospital of Valladolid, Spain
Received: June 17, 2020 | Published: July 27, 2020
Citation: De Miguel MS, García GE, Gobernado JT, et al. Risk factors of recurrence of stress urinary incontinence after single-incision sling at 5 years. Obstet Gynecol Int J. 2020;11(4):241-245. DOI: 10.15406/ogij.2020.11.00517
Abstract
Introduction and hypothesis: Stress urinary incontinence (SUI) affects 5-35% of women, especially at menopause. In severe cases or when conservative treatment fails, a tensión-free suburethral band is indicated. Similar short-medium term cure rates have been reported with mini-sling (SIS) compared to retropubic and transobturator band. But the long-term information is scarce and it seems that the risk of recurrence is not negligible (4-37%).
There is little literatura that studies the posible predisposing factors for the recurrence of SUI after SIS. The objective is to identify factors associated with the risk of relapse of SUI at 5 years, after SIS.
Methods: A prospective five-years follow-up observational study (2015-2019) was performed in women who underwent SUI using SIS. The sample was 115 patients with relapse of SUI.
Statistics: T-Student or U-Mann and ROC for quantitative variables, Chi-Squared and OR for qualitative variables.
Results: L25 patients (21.74%) had recurrence during the study period.
Of all the variables analyzed, they only showed a significant association with the recurrence of SUI: height, weigth and BMI, a history of fetal macrosomia and the number of compresses used.
The patients who presented recurrence of SUI had a lower heigth, greater weight, and therefore a higher BMI.
The obstetrics history of a vaginal delivery with a fetus >4 kg, was associated with a higher risk of recurrence (OR: 4.05, IC 95%=1.09-15.03), and the use of a greater number of compresses was also associated with an increased risk of relapse, obtaining an area under the curve of 0.659.
Conclusion: The 5-year recurrence rateo f SUI after mini-sling in our setting was 21.74%.
A lower height, a greater weight and BMI, macrosomic delivery and greater number of purses have shown a significant association with the risk of relapse of SUI after mini-sling at 5 years. Therefore, it is essential to adecuately advise patients according to their personal factors of the potencial risk of recurrence after SIS.
Keywords: Stress urinary incontinence, Recurrence, Risk factors, Body mass index
©2020 De, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.