Surgical treatment for urinary incontinence in women - Danish nationwide cohort studies 
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Conclusions:
 Study I: The study provided physicians with a representative evaluation of the rate of reoperations after different surgical procedures for UI. The observation that TOT was associated with a significantly higher risk of reoperation than TVT is novel in the literature and has important implications for both surgeons and patients when they consider surgical options for UI. 

Study II: The majority of women had reoperation at the same department as the primary synthetic MUS. Fewer treatment modalities were in use at low volume departments compared with high volume departments. It seems appropriate in the absence of evidence for the best treatment after failed synthetic MUSs, that women are referred to highly specialized departments for diagnosing and treatment.

 Study III: This national population-based cohort study represented cure among women who had UIT in an everyday life setting. Results seemed to be in the lower end of the spectrum compared to the literature. A learning curve for UIT indicated that the treatment should be restricted to fewer hands to improve the surgical education and consequently be a success for women with UIT. The severity of UI was a strong predictor for a lower degree of cure. Similarly, the use of antimuscarinic drug preoperatively decreased the likelihood of cure indicating that women with severe MUI or UUI also have less chance of cure. PMID: 29393041 [PubMed - in process]
Source: Danish Medical Journal - Category: General Medicine Tags: Dan Med J Source Type: research