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Persistent or Recurrent Urinary Incontinence 8 Years After Midurethral Sling Surgery: A Retrospective Cohort Study.

Bianca B Mengerink1,2, Emma E Pluymen3, Sanne A L van Leijsen4

  • 1Department of Obstetrics & Gynecology, Bernhoven Hospital, Nistelrodeseweg 10, 5406 PT, UDEN, The Netherlands. b.mengerink@bernhoven.nl.

International Urogynecology Journal
|July 7, 2025
PubMed
Summary
This summary is machine-generated.

Nearly a quarter of women experience persistent or recurrent stress urinary incontinence (SUI) eight years after midurethral sling (MUS) surgery. Many with SUI symptoms did not receive further treatment, and repeat surgery rates were low.

Keywords:
Midurethral sling surgeryPersistent urinary incontinenceRecurrent urinary incontinenceStress urinary incontinenceUrinary incontinence

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Area of Science:

  • Urology
  • Female Pelvic Medicine
  • Reconstructive Surgery

Background:

  • Midurethral sling (MUS) surgery is a common treatment for stress urinary incontinence (SUI) in women.
  • However, treatment failure can occur, leading to persistent or recurrent SUI post-surgery.
  • Long-term outcomes and the effectiveness of subsequent treatments are crucial for patient management.

Purpose of the Study:

  • To determine the prevalence of persistent or recurrent SUI eight years after MUS surgery.
  • To describe the types of additional treatments received by women with persistent or recurrent SUI.
  • To evaluate the effectiveness of these additional treatments.

Main Methods:

  • Retrospective cohort study analyzing medical files of women from a randomized controlled trial (VUSIS-2 study).
  • Follow-up data collected through medical file review in 12 hospitals.
  • Included analysis of postoperative symptoms, diagnostics, and treatments for urinary incontinence.

Main Results:

  • Of 301 analyzed files (52.1% of participants), 23.6% reported urinary incontinence symptoms at 7.8 years median follow-up.
  • Stress urinary incontinence (SUI) was reported in 12.6% of patients (persistent 6.0%, recurrent 6.6%).
  • Urgency urinary incontinence affected 16.9%, with 59.2% of incontinent cases receiving additional treatment, including repeat surgery in 5.6%.

Conclusions:

  • Nearly a quarter of women experience postoperative urinary incontinence symptoms eight years after MUS surgery for SUI.
  • A significant proportion of these women do not receive further treatment.
  • The prevalence of repeat surgery for SUI after initial MUS is relatively low.