title: Recurrence rate of stress urinary incontinence in females with initial cure after transobturator tape procedure at 3-year follow-up.
abstract: To assess recurrence rates of urinary incontinence in women with initial cure after transobturator tape (TOT) procedure at 3-year follow-up.
  
  
  
  Between June 2006 and May 2013, a total of 402 consecutive patients underwent the TOT procedure for female stress urinary incontinence (SUI) at Dongguk University Ilsan Hospital. Of the 402 patients, 223 had sufficient medical records for analysis. Therefore, they were followed-up for 3 years postoperatively. Patient characteristics, urinary symptoms, physical examination, and urodynamic parameters were evaluated. The primary end point of "cure" was defined as the absence of any complaint of urinary leakage without needing pads for usual activities.
  
  
  
  Of the 223 patients, 196 patients (87.9%) were initially cured within 6 months postoperatively. Of the 196 patients, 70 (35.7%) had recurrent urinary incontinence at 3 years postoperatively, 51 (26.0%) had SUI, 16 (8.2%) had urgency urinary incontinence, and 3 (1.5%) had mixed urinary incontinence. In univariate analysis, preoperative urinary obstructive symptom was found to significant contributor to the recurrence of urinary incontinence at 3-year postoperatively (p=0.004).
  
  
  
  In our study, 35.7% of the women with initial cure after TOT experienced the recurrence of urinary leakage during the 3-year follow-up. The cure rate of TOT was decreased as time went by, although the initial cure rate was high.
authors.affiliation: Department of Urology, Dongguk University Ilsan Hospital, Goyang, Korea.
authors.forename: Taeyong
authors.initials: T
authors.lastname: Jun
authors.affiliation: Department of Urology, Dongguk University Ilsan Hospital, Goyang, Korea.
authors.forename: Hyun Sik
authors.initials: HS
authors.lastname: Yoon
authors.affiliation: Department of Urology, Dongguk University Ilsan Hospital, Goyang, Korea.
authors.forename: Hyung Suk
authors.initials: HS
authors.lastname: Kim
authors.affiliation: Department of Urology, Dongguk University Ilsan Hospital, Goyang, Korea.
authors.forename: Jeong Woo
authors.initials: JW
authors.lastname: Lee
authors.affiliation: Department of Urology, Dongguk University Ilsan Hospital, Goyang, Korea.
authors.forename: Jungbum
authors.initials: J
authors.lastname: Bae
authors.affiliation: Department of Urology, Dongguk University Ilsan Hospital, Goyang, Korea.
authors.forename: Hae Won
authors.initials: HW
authors.lastname: Lee
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D053202:Urinary Incontinence, Urge / Q000188:drug therapy / Q000209:etiology
keywords: Recurrence; Suburethral slings; Urinary incontinence