Analysis of outcome and risk factors for failure aftersingle-incision sling procedure

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dc.contributor.authorGursoy, Ali
dc.contributor.authorPeker, Hakan
dc.date.accessioned2024-07-12T22:04:14Z
dc.date.available2024-07-12T22:04:14Z
dc.date.issued2021en_US
dc.description.abstractAim: To assess the effectiveness and safety of a single-incision sling (SIS) and to detect the risk factors for failure after surgery inwoman with stress urinary incontinence (SUI).Materials and Methods: The medical records of the one hundred thirty-two patients were analyzed. Preoperatively, medical historywas taken and urogynecological examination was made. Patients were asked to answer Urinary Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7). Objective cure of SUI was defined as the absence of leakage of urine on the cough test. Subjective cure was based on negative response to UDI-6, question 3. Patients were divided into two groups according to objective cure rate: cured patients (Group A) and failed patients (Group B). Results: The overall objective and subjective cure was 87.8% and 90.1%, respectively. According to the objective cure rate, there were116 patients (87.8%) in Group A and 16 patients (12.2%) in Group B. In terms of subjective cure, Quality of Life (QoL) scores (IIQ-7 and stress subdomain of UDI-6) of Group B were statistically improved after surgery (p=0.001 and p=0.005 respectively). When two groups were compared, Group B had higher prevalence of severe SUI (IIQ scores ?15 points) and reduced urethral mobility (Q-tip ? 30°) (0.8% vs 87.5%, p=0.0001 and 3.4% vs 68.7%, p=0.0001, respectively). The overall recommendation rate for surgery was 90%.Conclusion: Our study showed that SIS procedure has high subjective and objective cure rates. The main risk factors for failure weredetected as reduced urethral mobility and SUI severity expressed with IIQ scoresen_US
dc.identifier.endpage873en_US
dc.identifier.issn2636-7688
dc.identifier.issue5en_US
dc.identifier.startpage859en_US
dc.identifier.trdizinid467956en_US
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/467956
dc.identifier.urihttps://hdl.handle.net/20.500.12415/9630
dc.identifier.volume28en_US
dc.indekslendigikaynakTR-Dizin
dc.language.isoenen_US
dc.relation.ispartofAnnals of Medical Researchen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY04942
dc.titleAnalysis of outcome and risk factors for failure aftersingle-incision sling procedureen_US
dc.typeArticle
dspace.entity.typePublication

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