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Ten-Year Outcomes of Transobturator Mid-Urethral Sling for Treatment of Stress Urinary Incontinence in Hong Kong Chinese Women with or without Reconstructive Pelvic Floor Surgery

Ten-Year Outcomes of Transobturator Mid-Urethral Sling for Treatment of Stress Urinary Incontinence in Hong Kong Chinese Women with or without Reconstructive Pelvic Floor Surgery

作     者:Toby Yuen Mei Chan Willy Cecilia Cheon Yuk Sheung Fan Toby Yuen Mei Chan;Willy Cecilia Cheon;Yuk Sheung Fan

作者机构:Urogynaecology Team Department of Obstetrics & Gynecology Queen Elizabeth Hospital Hong Kong China 

出 版 物:《Open Journal of Obstetrics and Gynecology》 (妇产科期刊(英文))

年 卷 期:2021年第11卷第11期

页      面:1639-1649页

学科分类:07[理学] 0701[理学-数学] 070101[理学-基础数学] 

主  题:Stress Urinary Incontinence Urodynamic Stress Incontinence Mid-Urethral Sling Transobturator 

摘      要:Objective: To evaluate the outcomes of transobturator mid-urethral sling (TO-MUS) with or without reconstructive pelvic floor surgery (RPFS) in Chinese women with stress urinary incontinence (SUI) after 10 years.Methods: This was a prospective observational study on Chinese women undergoing the insertion of TO-MUS with or without RPFS. All patients were assessed at 1-year and 10-year by urodynamic study (UDS). Objective cure was defined as the absence of urine leakage during provocative maneuvers on filling cystometry. Data regarding subjective outcome (patient perception), quality of life changes (Urogenital Distress Inventory-short form (UDI-6), Incontinence Impact Questionnaire-short form(IIQ-7)) and adverse events were also collected.Results: Of 104 eligible patients, 99 patients completed the 10-year evaluation. 57 patients (57.6%) underwent TO-MUS only and 42 patients (42.4%) underwent TO-MUS with concomitant RPFS. At 10-year follow-up, the overall objective cure rate was 86.9% and ov

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