{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:58:11Z","timestamp":1761562691192,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T00:00:00Z","timestamp":1600732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>The American Urological Association\/Society\u00a0of\u00a0Urodynamics,\u00a0Female\u00a0Pelvic Medicine and Urogenital Reconstruction stress urinary incontinence (SUI) guidelines strongly recommend the midurethral sling (MUS) for the index female patient with SUI. While numerous studies report long\u2010term outcomes and complications for the retropubic MUS, these are largely absent for the transobturator MUS and are assessed in this study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is an Institutional Review Board approved\u00a0retrospective chart review of all women who underwent a transobturator MUS at a single institution from 2004 to 2010. Pre\u2010 and postoperative assessment included a cough\u2013stress test, SEAPI assessment,\u00a0and validated quality\u2010of\u2010life (QoL) questionnaires. SUI resolution was defined as\u00a0no subjective or objective SUI, and no additional surgery to achieve stress continence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 437 women, 305 (70%) had a minimum follow\u2010up of 48 months (mean 88; median 92). SUI was resolved in 69% of the entire cohort and 58% of the 78 women who had MUS only. The median time to SUI recurrence was 38 months in the entire cohort and 18 months in the MUS only group. Perioperative complications were infrequent and typically associated with concomitant surgery. A statistically significant improvement was observed in SEAPI scores and all QoL indices postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Long\u2010term resolution of SUI after the transobturator MUS is achieved by 69%, which is commensurate with success rates reported in the literature. Overall, women experience a significant improvement in their QoL after transobturator MUS; however, late recurrences and delayed sequelae may occur. Thus, long\u2010term follow\u2010up is warranted in this population.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24518","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T00:37:45Z","timestamp":1600821465000},"page":"2463-2470","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Long\u2010term outcomes of transobturator midurethral slings: A critical evaluation of a real\u2010world population"],"prefix":"10.1002","volume":"39","author":[{"given":"Librado","family":"Valadez","sequence":"first","affiliation":[{"name":"Department of Urology Louisiana State University Health Shreveport Shreveport Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clifton F.","family":"Frilot","sequence":"additional","affiliation":[{"name":"School of Allied Health Professions at LSU Health Shreveport Shreveport Louisiana 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