Outcomes Studied for Surgical Tx of Stress Urinary Incontinence

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~3 percent of midurethral mesh slings for stress urinary incontinence removed by 9 years
~3 percent of midurethral mesh slings for stress urinary incontinence removed by 9 years

(HealthDay News) -- Among women undergoing midurethral mesh sling insertion, the rate of mesh sling removal at 9 years is estimated to be 3.3%, according to a study published online in the Journal of the American Medical Association.

Ipek Gurol-Urganci, PhD, from the London School of Hygiene & Tropical Medicine, and colleagues examined long-term mesh removal and reoperation rates in 95,057 women (median age, 51 years) who had a first-ever midurethral mesh sling insertion for stress urinary incontinence in the National Health Service hospitals in England from April 1, 2006, through Dec. 31, 2015. Median follow-up was 5.5 years.

The researchers found that the rate of midurethral mesh sling removal was 1.4% at 1 year, 2.7% at 5 years, and 3.3% at 9 years. There was a decline in risk for removal with age. The 9-year removal risk was lower after transobturator insertion than after retropubic insertion (subdistribution hazard ratio, 0.72). For stress urinary incontinence, the rate of reoperation was 1.3% at 1 year, 3.5% at 5 years, and 4.5% at 9 years. Including mesh removal, the rate of any reoperation was 2.6% at 1 year, 5.5% at 5 years, and 6.9% at 9 years.

"These findings may guide women and their surgeons when making decisions about surgical treatment of stress urinary incontinence," the authors write.

One author disclosed ties to the medical device industry.

Reference

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