Are suburethral slings less successful in the elderly?

© 2016, The International Urogynecological Association. Introduction and hypothesis: We aimed to evaluate the success of suburethral slings in women ≥70 years of age. Methods: This was a retrospective cohort study of women who underwent suburethral sling placement. Subjects were separated into three...

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Main Authors: Alexandriah Alas, Orawee Chinthakanan, Luis Espaillat, Leon Plowright, Vivian Aguilar, G. Willy Davila
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/57723
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-577232018-09-05T03:48:41Z Are suburethral slings less successful in the elderly? Alexandriah Alas Orawee Chinthakanan Luis Espaillat Leon Plowright Vivian Aguilar G. Willy Davila Medicine © 2016, The International Urogynecological Association. Introduction and hypothesis: We aimed to evaluate the success of suburethral slings in women ≥70 years of age. Methods: This was a retrospective cohort study of women who underwent suburethral sling placement. Subjects were separated into three groups: ≤50 years of age (group 1), 51 to 69 years of age (group 2), and ≥70 years of age (group 3). The primary aim was to evaluate success as defined by ≥ improved on a validated patient improvement satisfaction score and a negative postoperative standardized stress test. Results: There were 1,464 subjects. Mean age was 44.51 ± 4.25 (n = 296) for group 1, 60.5 ± 5.28 (n = 680) for group 2, and 77.68 ± 5.41 (n = 488) for group 3. The median follow-up was 26 (6–498) weeks, 45 (6–498) weeks, and 42 (6–543) weeks, for groups 1, 2, and 3 respectively. Multiple logistic regression analysis demonstrated no difference in sling success according to age stratification. Lower success was associated with having had a previous sling (adjusted OR 0.25, 95 % CI 0.12–0.5), having detrusor overactivity (adjusted OR 0.44, 95 % CI 0.28–0.69), and having a history of urge urinary incontinence (UUI) for ≥ 4 years (adjusted OR 0.54, 95 % CI 0.31–0.95). Conclusions: There is no difference in sling success between the elderly and younger populations. However, those with previous sling surgery or a long standing history of UUI may be at a higher risk of failure. 2018-09-05T03:48:41Z 2018-09-05T03:48:41Z 2017-04-01 Journal 14333023 09373462 2-s2.0-84988391719 10.1007/s00192-016-3132-3 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84988391719&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/57723
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
Alexandriah Alas
Orawee Chinthakanan
Luis Espaillat
Leon Plowright
Vivian Aguilar
G. Willy Davila
Are suburethral slings less successful in the elderly?
description © 2016, The International Urogynecological Association. Introduction and hypothesis: We aimed to evaluate the success of suburethral slings in women ≥70 years of age. Methods: This was a retrospective cohort study of women who underwent suburethral sling placement. Subjects were separated into three groups: ≤50 years of age (group 1), 51 to 69 years of age (group 2), and ≥70 years of age (group 3). The primary aim was to evaluate success as defined by ≥ improved on a validated patient improvement satisfaction score and a negative postoperative standardized stress test. Results: There were 1,464 subjects. Mean age was 44.51 ± 4.25 (n = 296) for group 1, 60.5 ± 5.28 (n = 680) for group 2, and 77.68 ± 5.41 (n = 488) for group 3. The median follow-up was 26 (6–498) weeks, 45 (6–498) weeks, and 42 (6–543) weeks, for groups 1, 2, and 3 respectively. Multiple logistic regression analysis demonstrated no difference in sling success according to age stratification. Lower success was associated with having had a previous sling (adjusted OR 0.25, 95 % CI 0.12–0.5), having detrusor overactivity (adjusted OR 0.44, 95 % CI 0.28–0.69), and having a history of urge urinary incontinence (UUI) for ≥ 4 years (adjusted OR 0.54, 95 % CI 0.31–0.95). Conclusions: There is no difference in sling success between the elderly and younger populations. However, those with previous sling surgery or a long standing history of UUI may be at a higher risk of failure.
format Journal
author Alexandriah Alas
Orawee Chinthakanan
Luis Espaillat
Leon Plowright
Vivian Aguilar
G. Willy Davila
author_facet Alexandriah Alas
Orawee Chinthakanan
Luis Espaillat
Leon Plowright
Vivian Aguilar
G. Willy Davila
author_sort Alexandriah Alas
title Are suburethral slings less successful in the elderly?
title_short Are suburethral slings less successful in the elderly?
title_full Are suburethral slings less successful in the elderly?
title_fullStr Are suburethral slings less successful in the elderly?
title_full_unstemmed Are suburethral slings less successful in the elderly?
title_sort are suburethral slings less successful in the elderly?
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84988391719&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/57723
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