Are the Outcomes of Surgical Treatment of Women with Recurrent Stress Urinary Incontinence (SUI) As Good as Those in Women with Primary SUI?
BAUS ePoster online library. Ranasinghe A. Jun 25, 2019; 259566; P7-2
Anu Ranasinghe
Anu Ranasinghe
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Aims and Introduction:
Recent publications have indicated worse outcomes in women having surgery for recurrent or persistent stress urinary incontinence (SUI) as compared with women having surgery for primary SUI. We have assessed and compared outcomes in all women having surgery for SUI in our unit.

A retrospective notes review was performed for all 316 women have SUI surgery from 2007 to 2017 with a minimum of 12 months follow-up. 12 months follow up data with patient global impression of improvement PGII (as a 5 point Likert score with 1 being much worse and 5 much better) was available on 260 women of median age 54 years (range 17-81). Statistical analysis of parametric data was by T-test and none parametric by Mann Whitney U Test with significance determined as P<0.05.


140 women (median age 55 years) had surgery for recurrent or persistent SUI whilst 120 women (median age 53 years) had surgery for primary SUI. Procedures performed were; Sling(57), Colposuspension(46), Transobturator Mid-Urethral Tape(MUT)(91), Retropubic MUT(12), Artificial Urinary Sphincter(16), Bladder Neck Closure (5), Intra-Urethral Bulking(26) and Miscellaneous(7). Median (mean, range) PGII at 12-months following recurrent SUI surgery was 4(3.97, 1-5). This was not significantly different (P>0.05) from median (mean, range) PGII 12-months following primary SUI surgery, which was 5(4.4, 1-5).

Whilst PGII 12 months following recurrent SUI surgery is lower than that following primary SUI surgery it is not significantly so and the majority of women rate themselves as better or much better following all SUI surgery.
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