[Are there any factors predicting failure or complications rates of trans-obturator surgery for stress urinary incontinence?]. / Existe-t-il des facteurs prédictifs d'échec ou de complications dans la chirurgie de l'incontinence urinaire d'effort par voie transobturatrice?
Gynecol Obstet Fertil
; 34(12): 1118-25, 2006 Dec.
Article
em Fr
| MEDLINE
| ID: mdl-17113810
ABSTRACT
OBJECTIVE:
Since 2001 and the publication by Delorme of the trans-obturator route in the stress urinary incontinence (SUI), this technique has known an increasing development in France. The aim of this study is to evaluate the impact of different predicting factors on results and complications of trans-obturator surgery. PATIENTS ANDMETHODS:
It is a retrospective, multicentric study, including 4 centers, 14 surgeons and 196 patients operated between February 2003 and August 2005. We have realized a univariate (Chi2 test) and multivariate (logistic regression test) statistic analysis concerning 7 sub-groups defined according to the literature on the TVT.RESULTS:
Age>55 years (P=0,044) and SUI grade>2 (P=0,028) are statistically associated with a decrease of surgical success, age>55 years is also associated with an increase of complications rate in univariate (P=0,033) and multivariate (P=0,048) analysis. DISCUSSION ANDCONCLUSION:
Age>55 years should be considered, according to us, as a risk factor of surgical failure and complications in the trans-obturator surgery for SUI, none of the others risk factors found in the literature on the TVT seems to have an influence, in this study, on the results of trans-obturator surgery for SUI.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Incontinência Urinária por Estresse
/
Satisfação do Paciente
Idioma:
Fr
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
França