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Medical file review from 12 of 30 recruiting hospitals assessed postoperative symptoms and additional diagnostics and treatments. In analyzed records, urinary incontinence symptoms occurred in 23.6%, including persistent and recurrent SUI, while urgency urinary incontinence appeared in 16.9%. Additional treatment was required in 59.2% of incontinent cases, with repeat surgery reported at 5.6%.",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/persistent-or-recurrent-urinary-incontinence-8-years-after-midurethral-sling-surgery-a-retrospective-cohort-study/414252/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/persistent-or-recurrent-urinary-incontinence-8-years-after-midurethral-sling-surgery-a-retrospective-cohort-study/414252.png","ImageObject",300,407,{"name":92,"@type":93},"Aria","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"What was the primary aim of this retrospective cohort study?","Question",{"text":112,"@type":113},"To determine the prevalence of persistent or recurrent urinary incontinence 8 years after midurethral sling surgery and to describe the type and effectiveness of additional treatments.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were urinary incontinence symptoms assessed in the study?",{"text":117,"@type":113},"By retrospective medical file review at 6 to 10 years after MUS placement, including postoperative symptoms, additional diagnostics, and treatments.",{"name":119,"@type":110,"acceptedAnswer":120},"What proportion of analyzed cases reported persistent or recurrent stress urinary incontinence after 8 years?",{"text":121,"@type":113},"Among the analyzed files, stress urinary incontinence symptoms were reported in 12.6%, including 6.0% persistent and 6.6% recurrent stress urinary incontinence.",{"name":123,"@type":110,"acceptedAnswer":124},"What did the study find about the need for additional treatment and repeat surgery?",{"text":125,"@type":113},"Additional treatment was received in 59.2% of incontinent cases, and repeat surgery prevalence was 5.6%.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},414252,1790716915,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":143,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":67,"update_tm":147,"read_time":148,"preview_page_count":4},2336464648322,"https://ap-avatar.wpscdn.com/avatar/2200025388227c56fec?_k=1778556882303663488","International Urogynecology Journal (2025) 36:2401–2410  \n[https://doi.org/10.1007/s00192-025-06183-1](https://doi.org/10.1007/s00192-025-06183-1)  \nPersistent or Recurrent Urinary Incontinence 8 Years After Midurethral Sling Surgery: A Retrospective Cohort Study  \nBianca B. Mengerink1,2 · Emma E. Pluymen3 · Sanne A. L. van Leijsen4 · Esmee N. de Jong2 ·  \nJohn P. F. A. Heesakkers5 · Kirsten B. Kluivers2  \nReceived: 24 December 2024 / Accepted: 4 May 2025 / Published online: 7 July 2025 © The Author(s) 2025  \nAbstract  \nIntroduction and Hypothesis Midurethral sling (MUS) surgery improves the quality of life of women with stress urinary incontinence (SUI) . Nonetheless, treatment can fail leaving some women who still suffer from urinary incontinence postsurgery. This study determines the prevalence of persistent or recurrent urinary incontinence 8 years after MUS surgery and describes the type and effectiveness of additional treatments.  \nMethods This retrospective cohort study is a long-term follow-up study on women who participated in a randomized controlled trial (RCT) on the value of urodynamics and who underwent MUS surgery (VUSIS-2 study) . Data were collected through medical file review in 12 of 30 recruiting hospitals, representing 68.2% of inclusions. Data on postoperative symptoms, additional diagnostics and treatments were collected.  \nResults Of 578 VUSIS-2 participants, 301 (52.1%) medical files were analysed. Urinary incontinence symptoms were reported in 71 cases (23.6%[95% CI 19.1–28.7]) over a median follow-up of 7.8 years. SUI symptoms were reported in 38 patients (12.6%), including 18 patients (6.0%) [95% CI 2.6–9.3]) with persistent and 20 patients (6.6%) [95% CI 3.1–10.1] with recurrent SUI. Urgency urinary incontinence was reported in 51 medical files (16.9%) [95% CI 11.9–21.6], whereof 18 patients had mixed urinary incontinence complaints. Additional treatment was received in 42 patients (59.2% of incontinent cases [95% CI 47.5–69.8]), of whom nine (3.0%) received additional surgery (3 excisions/removals (1.0%) and two additional MUS placements (0.7%)) .  \nConclusions In this retrospective long-term follow-up study among women receiving MUS surgery for predominant SUI, postoperative urinary incontinence symptoms were reported in nearly a quarter of cases. One-third of these women did not receive additional treatment. The prevalence of repeat surgery was 5.6% .  \nKeywords Urinary incontinence · Stress urinary incontinence · Midurethral sling surgery · Recurrent urinary incontinence · Persistent urinary incontinence  \nHandling Editor: Catherine Matthews  \nEditor in Chief: Maria A. Bortolini  \n* Bianca B. Mengerink[b.mengerink@bernhoven.nl](b.mengerink@bernhoven.nl)  \n1 Department of Obstetrics & Gynecology, Bernhoven Hospital, Nistelrodeseweg 10, 5406 PT UDEN, The Netherlands  \n2 Department of Obstetrics & Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands  \nIntroduction  \nStress urinary incontinence (SUI) is defined as involuntary loss of urine on effort, coughing, sneezing or physical exertion. It is a common problem among adult women with an estimated prevalence of 25% to 57%[1, 2] . SUI is a benign  \n3 Department of Obstetrics & Gynecology, Rijnstate Hospital, Arnhem, The Netherlands  \n4 Department of Obstetrics & Gynecology, Maxima Medical Centre, Veldhoven, The Netherlands  \n5 Department of Urology, Maastricht University Medical Centre, Maastricht, The Netherlands  \ncondition but the symptoms have a great impact on social, physical and psychological well-being, associated with low self-esteem and social isolation [3] .  \nMidurethral slings (MUS) were introduced in the mid 1990s. It has been demonstrated that MUS surgery is more effective in women with moderate and severe SUI as compared to pelvic floor physiotherapy [4] and colposuspension [5] . Moreover, MUS has a lower perioperative morbidity than colposuspension [5–7] . In some countries, however, the use of synthetic MUS has ","cbCaijxp2KMj9qea","https://ap.wps.com/l/cbCaijxp2KMj9qea","pdf",922637,"English","# Abstract\n## Introduction and Hypothesis\n## Methods\n## Results\n## Conclusions\n# Introduction\n# Materials and Methods","[{\"question\":\"What was the primary aim of this retrospective cohort study?\",\"answer\":\"To determine the prevalence of persistent or recurrent urinary incontinence 8 years after midurethral sling surgery and to describe the type and effectiveness of additional treatments.\"},{\"question\":\"How were urinary incontinence symptoms assessed in the study?\",\"answer\":\"By retrospective medical file review at 6 to 10 years after MUS placement, including postoperative symptoms, additional diagnostics, and treatments.\"},{\"question\":\"What proportion of analyzed cases reported persistent or recurrent stress urinary incontinence after 8 years?\",\"answer\":\"Among the analyzed files, stress urinary incontinence symptoms were reported in 12.6%, including 6.0% persistent and 6.6% recurrent stress urinary incontinence.\"},{\"question\":\"What did the study find about the need for additional treatment and repeat surgery?\",\"answer\":\"Additional treatment was received in 59.2% of incontinent cases, and repeat surgery prevalence was 5.6%.\"}]","Persistent or Recurrent Urinary Incontinence 8 Years After Midurethral Sling Surgery - A Retrospective Cohort Study | PDF",1790597097,25]