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Updated: Jul 3, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

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Published on: January 7, 2019

Reoperation for urinary incontinence.

Michael Fialkow1, Rebecca Gaston Symons, David Flum

  • 1Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA, USA.

American Journal of Obstetrics and Gynecology
|July 22, 2008
PubMed
Summary
This summary is machine-generated.

Reoperation for urinary incontinence is common, with Burch colposuspension showing lower rates than slings. Concomitant hysterectomy may further reduce reoperation risk for these incontinence surgeries.

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Area of Science:

  • Urology
  • Gynecology
  • Epidemiology

Background:

  • Urinary incontinence affects a significant portion of the female population.
  • Surgical interventions like sling procedures and retropubic colposuspension (Burch) are common treatments.
  • Understanding reoperation rates is crucial for assessing long-term surgical outcomes.

Purpose of the Study:

  • To determine the incidence and identify factors associated with reoperation for urinary incontinence.
  • To compare reoperation rates between different surgical procedures for urinary incontinence.

Main Methods:

  • A retrospective cohort study utilized Washington state hospitalization records from 1987 to 2005.
  • Included inpatient urinary incontinence surgeries, focusing on sling and Burch colposuspension procedures.
  • Cox regression analysis was employed to assess the hazard of reoperation.

Main Results:

  • A total of 41,705 women underwent surgery; 8.6% required reoperation for urinary incontinence.
  • The cumulative reoperation rate was 5.5 per 1000 woman-years.
  • Burch colposuspension had a lower reoperation rate (4.2 per 1000 woman-years) compared to slings (6.7 per 1000 woman-years); P < .001.
  • Concomitant hysterectomy was associated with reduced reoperation rates for both procedures.

Conclusions:

  • Reoperation for urinary incontinence is a frequent occurrence in the general population.
  • Observed variations in reoperation rates warrant further investigation, especially with the increasing use of sling procedures.
  • Surgical approach and concomitant procedures influence the need for subsequent operations.