Treatment outcomes and overactive bladder symptoms after midurethral sling in female patients with or without various neurological diseases

• Published in: Neurourology and urodynamics 2020-11, Vol.39 (8), p.2379-2385
• Main Authors: Shin, Jung H., Park, Kye W., Park, Juhyun, Choo, Myung‐Soo
• Format: Article
• Language: English
• Subjects: Aged; Diabetes; Diabetes mellitus; Female; Humans; Hypertension; Middle Aged; midurethral sling; Nervous System Diseases - complications; neurologic disease; Neurological diseases; Postoperative Complications - etiology; Spinal cord injuries; Suburethral Slings - adverse effects; Treatment Outcome; Urinary Bladder, Overactive - etiology; Urinary incontinence; Urinary Incontinence, Stress - complications; Urinary Incontinence, Stress - surgery
• ISSN: 0733-2467; 1520-6777
• DOI: 10.1002/nau.24498

Aims We investigated surgical outcomes and changes of overactive bladder (OAB) symptoms after midurethral sling in female stress urinary incontinence (SUI) patients with or without neurological disease (ND) without spinal cord injury. Methods Patients who underwent midurethral sling for SUI between January 2009 and December 2018 were reviewed. Postoperative changes in OAB symptoms (de novo occurrence or resolution) within 1 year were compared in each preoperative symptom subset with a 1:1 matched analysis between non‐neurological disease (NND) and ND group. Results A total of 855 patients (median follow‐up: 49.8 months; mean age: 57.9 ± 9.3 years) were included. Successful SUI correction was achieved in 95.0% of NND and 93.7% of ND patients (p = .440). Among 797 patients (711 NND and 86 ND) without remnant SUI, 227 had SUI only, 198 had SUI with urgency, and 372 had mixed urinary incontinence (MUI) preoperatively. The ND patients tended to be older (62.8 ± 9.2 vs. 57.2 ± 9.0 years) and had higher proportions of diabetes (24.4% vs. 8.0%), hypertension (47.7% vs. 26.7%), and MUI (64.0% vs. 44.6%) than NND patients (p