Risk factors of treatment failure after retrourethral transobturator male sling
Purpose Prospective evaluation of independent risk factors for failure of the retrourethral transobturator sling suspension (RTS) with special attention on sphincter function and surgical technique. Methods A total of 189 patients with postprostatectomy stress urinary incontinence (SUI) were treated...
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| Veröffentlicht in: | World journal of urology 2012-04, Vol.30 (2), p.201-206 |
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| creator | Soljanik, Irina Gozzi, Christian Becker, Armin J. Stief, Christian G. Bauer, Ricarda M. |
| description | Purpose
Prospective evaluation of independent risk factors for failure of the retrourethral transobturator sling suspension (RTS) with special attention on sphincter function and surgical technique.
Methods
A total of 189 patients with postprostatectomy stress urinary incontinence (SUI) were treated with RTS (AdVance
®
sling) in a prospective clinical study with a mean follow-up of 20.8 months. Eleven patients were lost to follow-up. Uni- and multivariate analyses were performed to identify independent risk factors for RTS failure. The success rate was defined as cured (no pad use or one dry ‘security’ pad) or improved (one to two pads and pad reduction ≥50%).
Results
At a mean follow-up of 20.8 months, the overall success rate was 73.1%. Multivariate analysis revealed that weak residual function and incomplete closure of the sphincter (OR, 29.0), no elongation of the coaptive sphincter zone (OR, 26.9), no sling tunnelling (OR, 22.6) and use of resorbable sutures with a small number (≤4) of stitches (OR, 8.4) are significant predictors for RTS failure.
Conclusions
Preoperative selection of the patients with regard to residual sphincter function and a special attention on better sling fixation may increase RTS efficacy. |
| doi_str_mv | 10.1007/s00345-011-0671-6 |
| format | Article |
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Prospective evaluation of independent risk factors for failure of the retrourethral transobturator sling suspension (RTS) with special attention on sphincter function and surgical technique.
Methods
A total of 189 patients with postprostatectomy stress urinary incontinence (SUI) were treated with RTS (AdVance
®
sling) in a prospective clinical study with a mean follow-up of 20.8 months. Eleven patients were lost to follow-up. Uni- and multivariate analyses were performed to identify independent risk factors for RTS failure. The success rate was defined as cured (no pad use or one dry ‘security’ pad) or improved (one to two pads and pad reduction ≥50%).
Results
At a mean follow-up of 20.8 months, the overall success rate was 73.1%. Multivariate analysis revealed that weak residual function and incomplete closure of the sphincter (OR, 29.0), no elongation of the coaptive sphincter zone (OR, 26.9), no sling tunnelling (OR, 22.6) and use of resorbable sutures with a small number (≤4) of stitches (OR, 8.4) are significant predictors for RTS failure.
Conclusions
Preoperative selection of the patients with regard to residual sphincter function and a special attention on better sling fixation may increase RTS efficacy.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-011-0671-6</identifier><identifier>PMID: 21416252</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Aged ; Follow-Up Studies ; Humans ; Male ; males ; Medicine ; Medicine & Public Health ; Middle Aged ; Nephrology ; Oncology ; Original Article ; Patient Selection ; Postoperative Complications - surgery ; Prospective Studies ; Prostatectomy ; Risk Factors ; security ; Stress ; Suburethral Slings ; surgery ; Treatment Failure ; Tunnels ; Urinary Incontinence, Stress - surgery ; Urologic Surgical Procedures, Male ; Urology</subject><ispartof>World journal of urology, 2012-04, Vol.30 (2), p.201-206</ispartof><rights>Springer-Verlag 2011</rights><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-793caeddff8b8ed4f979763d78d7cf832b95ae865e8b622c7dfa636b22a0380c3</citedby><cites>FETCH-LOGICAL-c403t-793caeddff8b8ed4f979763d78d7cf832b95ae865e8b622c7dfa636b22a0380c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00345-011-0671-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00345-011-0671-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21416252$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soljanik, Irina</creatorcontrib><creatorcontrib>Gozzi, Christian</creatorcontrib><creatorcontrib>Becker, Armin J.</creatorcontrib><creatorcontrib>Stief, Christian G.</creatorcontrib><creatorcontrib>Bauer, Ricarda M.</creatorcontrib><title>Risk factors of treatment failure after retrourethral transobturator male sling</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Purpose
Prospective evaluation of independent risk factors for failure of the retrourethral transobturator sling suspension (RTS) with special attention on sphincter function and surgical technique.
Methods
A total of 189 patients with postprostatectomy stress urinary incontinence (SUI) were treated with RTS (AdVance
®
sling) in a prospective clinical study with a mean follow-up of 20.8 months. Eleven patients were lost to follow-up. Uni- and multivariate analyses were performed to identify independent risk factors for RTS failure. The success rate was defined as cured (no pad use or one dry ‘security’ pad) or improved (one to two pads and pad reduction ≥50%).
Results
At a mean follow-up of 20.8 months, the overall success rate was 73.1%. Multivariate analysis revealed that weak residual function and incomplete closure of the sphincter (OR, 29.0), no elongation of the coaptive sphincter zone (OR, 26.9), no sling tunnelling (OR, 22.6) and use of resorbable sutures with a small number (≤4) of stitches (OR, 8.4) are significant predictors for RTS failure.
Conclusions
Preoperative selection of the patients with regard to residual sphincter function and a special attention on better sling fixation may increase RTS efficacy.</description><subject>Aged</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>males</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Patient Selection</subject><subject>Postoperative Complications - surgery</subject><subject>Prospective Studies</subject><subject>Prostatectomy</subject><subject>Risk Factors</subject><subject>security</subject><subject>Stress</subject><subject>Suburethral Slings</subject><subject>surgery</subject><subject>Treatment Failure</subject><subject>Tunnels</subject><subject>Urinary Incontinence, Stress - surgery</subject><subject>Urologic Surgical Procedures, Male</subject><subject>Urology</subject><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kctKAzEUhoMoWqsP4EYGN7oZzW1yWUrxBoWC6DpkZk7q6Fxqkln49qa0Kgi6Cif5zhfO-RE6IfiSYCyvAsaMFzkmJMdCklzsoAnhjOVKUrGLJlhSnnOt2AE6DOEVYyIFLvbRASWcCFrQCVo8NuEtc7aKgw_Z4LLowcYO-pgum3b0kFkXwWceoh9SGV-8bRNl-zCUcfQ2NWadbSELbdMvj9Ces22A4-05Rc-3N0-z-3y-uHuYXc_zimMWc6lZZaGunVOlgpo7LbUUrJaqlpVTjJa6sKBEAaoUlFaydlYwUVJqMVO4YlN0vvGu_PA-Qoima0IFbWt7GMZgtGYEs4KTRF78S5K0PkoIVyKhZ7_Q1zRyn-YwWkpNqNI8QWQDVX4IwYMzK9901n8kk1nHYjaxmOQ161jMWny6FY9lB_V3x1cOCaAbIKSnfgn-5-e_rZ8bO5gW</recordid><startdate>20120401</startdate><enddate>20120401</enddate><creator>Soljanik, Irina</creator><creator>Gozzi, Christian</creator><creator>Becker, Armin J.</creator><creator>Stief, Christian G.</creator><creator>Bauer, Ricarda M.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>20120401</creationdate><title>Risk factors of treatment failure after retrourethral transobturator male sling</title><author>Soljanik, Irina ; Gozzi, Christian ; Becker, Armin J. ; Stief, Christian G. ; Bauer, Ricarda M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-793caeddff8b8ed4f979763d78d7cf832b95ae865e8b622c7dfa636b22a0380c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>males</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Patient Selection</topic><topic>Postoperative Complications - surgery</topic><topic>Prospective Studies</topic><topic>Prostatectomy</topic><topic>Risk Factors</topic><topic>security</topic><topic>Stress</topic><topic>Suburethral Slings</topic><topic>surgery</topic><topic>Treatment Failure</topic><topic>Tunnels</topic><topic>Urinary Incontinence, Stress - surgery</topic><topic>Urologic Surgical Procedures, Male</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soljanik, Irina</creatorcontrib><creatorcontrib>Gozzi, Christian</creatorcontrib><creatorcontrib>Becker, Armin J.</creatorcontrib><creatorcontrib>Stief, Christian G.</creatorcontrib><creatorcontrib>Bauer, Ricarda M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soljanik, Irina</au><au>Gozzi, Christian</au><au>Becker, Armin J.</au><au>Stief, Christian G.</au><au>Bauer, Ricarda M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors of treatment failure after retrourethral transobturator male sling</atitle><jtitle>World journal of urology</jtitle><stitle>World J Urol</stitle><addtitle>World J Urol</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>30</volume><issue>2</issue><spage>201</spage><epage>206</epage><pages>201-206</pages><issn>0724-4983</issn><eissn>1433-8726</eissn><abstract>Purpose
Prospective evaluation of independent risk factors for failure of the retrourethral transobturator sling suspension (RTS) with special attention on sphincter function and surgical technique.
Methods
A total of 189 patients with postprostatectomy stress urinary incontinence (SUI) were treated with RTS (AdVance
®
sling) in a prospective clinical study with a mean follow-up of 20.8 months. Eleven patients were lost to follow-up. Uni- and multivariate analyses were performed to identify independent risk factors for RTS failure. The success rate was defined as cured (no pad use or one dry ‘security’ pad) or improved (one to two pads and pad reduction ≥50%).
Results
At a mean follow-up of 20.8 months, the overall success rate was 73.1%. Multivariate analysis revealed that weak residual function and incomplete closure of the sphincter (OR, 29.0), no elongation of the coaptive sphincter zone (OR, 26.9), no sling tunnelling (OR, 22.6) and use of resorbable sutures with a small number (≤4) of stitches (OR, 8.4) are significant predictors for RTS failure.
Conclusions
Preoperative selection of the patients with regard to residual sphincter function and a special attention on better sling fixation may increase RTS efficacy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21416252</pmid><doi>10.1007/s00345-011-0671-6</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0724-4983 |
| ispartof | World journal of urology, 2012-04, Vol.30 (2), p.201-206 |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Aged Follow-Up Studies Humans Male males Medicine Medicine & Public Health Middle Aged Nephrology Oncology Original Article Patient Selection Postoperative Complications - surgery Prospective Studies Prostatectomy Risk Factors security Stress Suburethral Slings surgery Treatment Failure Tunnels Urinary Incontinence, Stress - surgery Urologic Surgical Procedures, Male Urology |
| title | Risk factors of treatment failure after retrourethral transobturator male sling |
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