title: 10 years follow-up after mid-urethral sling implantation: high rate of cure yet a re-occurrence of OAB-symptoms.
abstract: To assess the long-term outcome of mid-urethral slings regarding urinary incontinence (UI) and lower urinary tract symptoms and to identify risk factors for an unsatisfactory outcome.
  
  
  
  Analysis of a prospective institutional database. For the current analysis only women who reached the 10 years follow-up were eligible. Outcome was assessed using a detailed, non-validated questionnaire on continence status and on several aspects of lower urinary tract function.
  
  
  
  A total of 256 women were operated during 1999-2004, in 139 (54.3%), a 10 years follow-up was available and these patients were included. Mean age at surgery was 63 years. At the 2, 5, and 10 years follow-up, the percentages of women reporting 0-1 pads/day were 96.4%, 97.1% and 88.5%, respectively. More than 95% of the patients reported no stress UI at the 2, 5, and 10 years follow-up. At baseline, urgency was reported by 61.2%, this figure dropped to 17.3% at 2 years and increased thereafter to 32.4% (5 years) and 41.7% (10 years). De novo urgency was present in 3.6% after 2 years, in 10.8% after 5 years, and 14.4% after 10 years. The percentage of patients with a high degree of treatment satisfaction declined from 79.1% at 2 years to 70.5% at 5 years, and 62.6% at 10 years. Risk factors for an unsatisfactory long-term outcome were advanced age, the presence of urgency, nocturia, and decreased bladder capacity at baseline.
  
  
  
  This study confirms the excellent long-term efficacy of mid-urethral slings regarding the management of stress UI. A substantial number of women develop OAB-symptoms after the procedure that largely contribute to outcome dissatisfaction. Neurourol. Urodynam. 36:614-619, 2017. © 2016 Wiley Periodicals, Inc.
authors: Department of Urology, Kaiser-Franz-Josef Hospital, Vienna, Austria.
authors: Ingrid
authors: I
authors: Schauer
authors: Department of Urology, Kaiser-Franz-Josef Hospital, Vienna, Austria.
authors: Helena
authors: H
authors: Bock
authors: Department of Urology, Kaiser-Franz-Josef Hospital, Vienna, Austria.
authors: Klaus
authors: K
authors: Eredics
authors: Department of Urology, Kaiser-Franz-Josef Hospital, Vienna, Austria.
authors: Martina
authors: M
authors: Wallis
authors: Department of Urology, Kaiser-Franz-Josef Hospital, Vienna, Austria.
authors: Michael
authors: M
authors: Scholz
authors: Department of Urology, Kaiser-Franz-Josef Hospital, Vienna, Austria.
authors: Stephan
authors: S
authors: Madersbacher
authors: Department of Urology, Kaiser-Franz-Josef Hospital, Vienna, Austria.
authors: Werner
authors: W
authors: Lüftenegger
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016208:Databases, Factual; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D053201:Urinary Bladder, Overactive / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures
keywords: long-term outcome; surgery; urinary incontinence; women