Search

INTRODUCTION AND OBJECTIVE:Urethral stricture is one of the postoperative complications after transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) and urethral dila...

INTRODUCTION AND OBJECTIVE:Erectile dysfunction (ED) is a common problem whose relation to cardiovascular diseases has been scientifically proven, but it has not been studied sufficiently in patien...

INTRODUCTION AND OBJECTIVE:To investigate the real-world prevalence of repeated prostate-specific antigen (PSA) screening in Korea and its influence on the treatment pattern of the prostate cancer ...

INTRODUCTION AND OBJECTIVES:Ejaculation frequency, including sexual intercourse, nocturnal emissions, and masturbation, affect the development of prostate disease, such as benign prostatic hyperpla...

INTRODUCTION AND OBJECTIVE:To evaluate the long-term outcomes of the tension-free vaginal tape (TVT) procedure, we investigated the data from female patients with stress urinary incontinence (SUI) ...

INTRODUCTION AND OBJECTIVE:The midurethral sling (transobturator tape [TOT]) procedure has been widely performed for treatment of urinary incontinence; however, little has been reported regarding s...

INTRODUCTION AND OBJECTIVES: To evaluate the longterm outcomes from the tension-free vaginal tape (TVT) procedure, we investigated the data from minimal 13-year follow-up and predictive risk factors affecting efficacy for treatment of female stress urinary incontinence (SUI). METHODS: A total of 206 (mean age, 59.2 8.8 years) women who underwent the TVT procedure for SUI were selected and followed up for at least 13 yr (mean, 162.4 months; range, 156-174) after TVT procedure. We analyzed the long-term results and the predictive parameters for success rates and patients0 satisfaction. RESULTS: At 13 years after surgery, the overall cure rate was 82.5%, with a satisfaction rate of 67.5%. Univariable analysis demonstrated an association of symptom grade of SUI with cure rates, while the presence of frequency, urgency, and urge incontinence showed an association with patients0 satisfaction. However, in multivariable logistic regression model, none of those variables were identified as an independent risk factor related to the cure and satisfaction rate. Twenty one patients (10.2%) had postoperative complications at 1-year follow-up after surgery. However, at 13-year follow-up after surgery, only 3 patients (1.5%) had postoperative complications, including mesh exposure in 1 patient and de novo urgency in 2 patients. CONCLUSIONS: Our long-term data which illustrated the absence of long-term adverse events secondary to TVT procedure and the high success rate both in subjective and objective goal regardless of any independent predictive factors suggest TVT procedure as a recommendable method for the management of female SUI.

BDI-II 271 13.0 11.8 10.0 0 to 50 243 5.8 10.4 4.0 49 to 28 0.0001 VAS for pelvic pain 268 3.2 3.2 2.0 0 to 10 242 1.8 2.8 0.6 9 to 8 0.0001 Abbreviations: ICIQ-OABqol Overactive Bladder Quality of Life questionnaire, HRQL Health-related quality of life, MLUTSsex/FLUTSsex Male/Female Lower Urinary Tract Symptom sexual function questionnaire, BDI Beck Depression Inventory, VAS Visual Analog Score. *Includes all implanted subjects with data at baseline. †Includes all implanted subjects with data at baseline and 12 months. ‡p-value is based on change from baseline.

sion. There was a higher decompression rate at teaching versus nonteaching hospitals (81% vs 77% p 0.01), large versus small hospitals (81% vs 73% p 0.01) and urban versus rural hospitals (79% vs 73% p 0.04). These factors all remained independently associated with a higher likelihood of surgical decompression in multivariable analysis (Table 1). Other covariates associated with a higher likelihood of decompression included private insurance, female gender and midwest or northeast region. Black race was associated with decreased odds of undergoing decompression. CONCLUSIONS: Hospital factors including teaching status, large bedsize and urban location are independently associated with higher rates of surgical decompression among inpatients with sepsis and ureteral calculi. Possible explanations for these findings include variation in access to resources and subspecialist care. Further research is necessary to explain these differences to ensure optimal treatment across the health care system by improving access to these lifesaving interventions where decompression rates are lowest.