Research Article

4-year recurrence risk factors after tension-free vaginal tape-obturator as a treatment of stress urinary incontinence

De Miguel Manso S*, García García E, Gobernado Tejedor JA, Badillo Bercebal CE, Viruega Cuaresma D and González Martín JI

Published: 04 November, 2020 | Volume 3 - Issue 2 | Pages: 145-150

Objectives: Tension-free vaginal tapes are the gold standard of the surgical treatment of stress urinary incontinence (SUI); however, long-term recurrence of SUI after this surgery has been a matter of problem. Here, we attempted to determine the incidence of its recurrence and to identify the risk factors of 4-year-recurrence of SUI after this surgery.

Methods: Of all patients undergoing this surgery (n = 341, 2015-2019), 71 patients were met the study inclusion criteria. Of 71, SUI recurred in 8 patients, with the recurrence rate being 11.3%. The following three were identified to be independent risk factors: older age, history of delivery of macrosomic baby (>4 kg), and the presence of mixed urinary incontinence. The frequency of recurrence in cases with mixed incontinence amounted for 19.5%. Recurrence was 22 and 50% for women with macrosomic delivery once and more than twice, respectively.

Conclusion: Advanced age, macrosomic delivery and mixed urinary incontinence have shown to be independent risk factors of recurrence of SUI after tension-free vaginal tape-obturator at 4 years.

Key message: Stress urinary incontinence can recur so investigate possible risk factors is a priority. Our paper relates recurrence with: advanced age, fetal macrosomia and mixed incontinence.

Read Full Article HTML DOI: 10.29328/journal.cjog.1001069 Cite this Article Read Full Article PDF


Recurrence; Risk factors; Stress urinary incontinence


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