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- W1981311272 abstract "Minimally invasive forms of the tension-free vaginal tape (TVT) procedure have shown considerable promise in women with stress urinary incontinence (SUI). Operating times have decreased, as have complications, in part because TVT may be done under local anesthesia. This study analyzed the results of midurethral sling procedures in 266 women who were followed up for at least 6 months and for a mean of 10.4 months. Outcomes were compared in an elderly group of 60 women aged 65 years and older and 206 middle-aged women 45 to 64 years of age. Both TVT and suprapubic arch (SPARC) procedures were carried out. Uroflowmetry was performed with the patient sitting to monitor voided volume and maximal flow rate during micturition. Compared with middle-aged women, the elderly had higher parity, more combined symptoms of urgency or urge urinary incontinence (UUI), less urethral mobility, and lower Valsalva leak point pressure or maximum urethral closure pressure. Apart from bladder injury, occurring in 4.4% of middle-aged women and 1.7% of the elderly group, there were no major intraoperative or postoperative complications. In no instance was healing of the vaginal wound impaired or the tape rejected. Postoperative urgency was present in 6.3% of middle-aged women and 25% of the elderly group, but rates of postoperative UUI did not differ significantly. SUI was cured in 91% of middle-aged and 85% of elderly women. The respective rates of transient postoperative urinary retention were 11% and 15%. It is not yet clear whether elderly women gain durable results from midurethral sling procedures but, from the present findings, age does not appear to be a significant risk factor for surgical failure." @default.
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- W1981311272 date "2006-09-01" @default.
- W1981311272 modified "2023-09-26" @default.
- W1981311272 title "Age Is Not a Limiting Factor for Midurethral Sling Procedures in the Elderly With Urinary Incontinence" @default.
- W1981311272 doi "https://doi.org/10.1097/01.ogx.0000234640.88421.14" @default.
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