Hsiao S.-M.TING-CHEN CHANGHO-HSIUNG LIN2021-03-032021-03-0320090090-4295https://www.scopus.com/inward/record.uri?eid=2-s2.0-65049083855&doi=10.1016%2fj.urology.2009.01.004&partnerID=40&md5=7cbeaac0775d033cdf76acd5fd58ec16https://scholars.lib.ntu.edu.tw/handle/123456789/550226Objectives: To identify the risk factors affecting cure after the tension-free vaginal tape procedure (TVT) or transobturator tape procedure (TOT). Methods: A total of 121 women with urodynamically proved stress incontinence underwent TVT (n = 61) or TOT (n = 60). We analyzed all data with univariate and multivariate logistic regression analyses. Results: Univariate analysis revealed that a larger postvoid residual urine volume, greater pad weight test, and lower maximal flow rate were associated with a greater risk of failure to be cured after TVT. A lower maximal urethral closure pressure (MUCP) was associated with a greater risk of failure after the TOT procedure. With additional analysis, we found that a MUCP of ?40 cm H2O (odds ratio [OR] 9.21, P = .004) was associated with a significantly greater risk of failure to be cured after the TOT procedure but not a MUCP of ?50 cm H2O (OR 2.24, P = .21). Multivariate analysis revealed that preoperative detrusor overactivity was an independent risk factor affecting cure after TVT (OR 113.1, 95% confidence interval 1.84-6592.77, P = .02) or TOT (OR 23.7, 95% confidence interval 1.63-344.53, P = .02), and MUCP ?40 cm H2O (OR 8.34, 95% confidence interval 1.52-45.65, P = .01) was another risk factor for TOT. Conclusions: The risk factors affecting cure after mid-urethral tape procedures were preoperative detrusor overactivity for TVT and TOT and MUCP ?40 cm H2O for TOT. ? 2009.[SDGs]SDG3adult; aged; article; female; gynecologic surgery; human; major clinical study; maximal urethral closure pressure; overactive bladder; priority journal; residual urine; risk factor; stress incontinence; surgical approach; tension free vaginal tape; transobturator tape procedure; treatment failure; urethra pressure; urine flow rate; urine volume; urodynamics; Aged; Analysis of Variance; Cohort Studies; Confidence Intervals; Cystoscopy; Female; Humans; Logistic Models; Middle Aged; Multivariate Analysis; Odds Ratio; Postoperative Complications; Prognosis; Quality of Life; Recovery of Function; Recurrence; Risk Factors; Severity of Illness Index; Suburethral Slings; Urethra; Urinary Bladder, Overactive; Urinary Incontinence, Stress; Urodynamics; Urologic Surgical Proceduresjournal article10.1016/j.urology.2009.01.004192857132-s2.0-65049083855