Predictive Factors for Persistent Urgency or Urge Incontinence after Tension-Free Vaginal Tape Procedure in Mixed Urinary Incontinence.
- Author:
Ja Hyeon KU
1
;
Jae Wook SHIN
;
Hwancheol SON
;
Seung June OH
;
Soo Woong KIM
;
Jae Seung PAICK
Author Information
1. Department of Urology, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Urinary incontinence;
Surgical mesh;
Female
- MeSH:
Exercise Test;
Female;
Humans;
Multivariate Analysis;
Suburethral Slings*;
Surgical Mesh;
Urinary Incontinence*;
Urinary Incontinence, Urge*
- From:Korean Journal of Urology
2004;45(4):330-336
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The factors for predicting persistent urge symptom and urge incontinence following a tension-free vaginal tape (TVT) procedure were investigated in patients with mixed urinary incontinence. MATERIALS AND METHODS: Two hundred and seventy-four women, with a mean age of 55 years, ranging from 28 to 80, with female urinary incontinence (stress urinary incontinence; 201, mixed urinary incontinence; 73) were the subjects of this study. After a TVT procedure, the patients were followed up at 1, 6 and 12 months and every 1 year thereafter. Cure of incontinence after the procedure was defined as the absence of a subjective complaint of leakage and the absence of objective leakage on stress testing, with all other cases considered as failures. RESULTS: There was no significant difference in the cure rates for stress urinary incontinence in patients with stress and mixed urinary incontinence. However, of 73 patients with mixed urinary incontinence, 20 (27.4%) ans 12 (16.4%) had persistent urgency and continued urge incontinence, respectively. In a multivariate analysis, a low maximal urethral closure pressure (MUCP) was found to be associated with an increased likelihood of persistent urgency (odds ratio, 0.94; 95% confidence interval, 0.38-0.99; p=0.029) and the persistent urge incontinence (odds ratio, 0.94; 95% confidence interval, 0.88-0.99; p=0.030) after a TVT procedure in patients with mixed urinary incontinence. CONCLUSIONS: Our findings suggest that a low MUCP may be associated with the persistent urgency and urge incontinence after a TVT procedure in patients with mixed urinary incontinence.
