From: Does anchoring vaginal mesh increase the potential for correcting stress incontinence?
Modified TVM group vs Control group I (historical controls: TVM) | Modified TVM group vs Control group II (historical controls: anterior colporrhaphy) | |||||
---|---|---|---|---|---|---|
p value | Unadjusted OR (95% CI) | Adjusted ORa (95% CI) | p value | Unadjusted OR (95% CI) | Adjusted ORa (95% CI) | |
Age | 0.05 | 1.04 (1.00–1.08) | 1.02 (0.97–1.08) | < 0.001 | 1.07 (1.04–1.11) | 1.05 (1.01–1.10) |
BMI | 0.05 | 1.13 (1.00–1.29) | 1.12 (0.96–1.30) | 0.001 | 1.14 (1.04–1.25) | 1.13 (1.01–1.26) |
Previous vaginal deliveries | 0.26 | 1.28 (0.83–1.98) | 1.57 (0.90–2.76) | 0.45 | 1.15 (0.84–1.58) | 1.18 (0.79–1.76) |
Postmenopausal women | 0.001 | 9.6 (2.09–4.35) | 11.58 (1.78–75.1) | < 0.001 | 10.44 (2.41–45.2) | 8.09 (0.98–67.05) |
Previous vaginal operations | 0.08 | 2.16 (0.99–4.74) | 2.16 (0.86–5.44) | 0.19 | 1.54 (0.81–2.93) | 1.29 (0.59–2.80) |
Chronic systemic diseases | 1.00 | 1.09 (0.49–1.41) | 0.95 (0.37–2.41) | 0.045 | 2.23 (1.05–4.71) | 1.84 (0.77–4.41) |
Diabetes mellitus | 1.00 | 1.00 (0.38–2.60) | 0.77 (0.16–4.46) | 0.07 | 2.46 (0.94–6.11) | 0.86 (0.19–3.88) |
Autoimmune diseases | 1.00 | 1.36 (0.29–6.33) | 3.23 (0.41–25.67) | 0.48 | 1.64 (0.43–0.34) | 1.99 (0.34–11.59) |
Airway disorders | 0.72 | 1.72 (0.40–2.58) | 0.90 (0.15–5.54) | 0.51 | 1.73 (0.51–5.89) | 0.4 (0.08–2.14) |
POP–Q III vs II | 0.02 | 4.71 (1.26–17.5) | 6.32 (1.07–37.52) | < 0.001 | 1.24 (1.10–4.40) | 1.36 (1.08–4.10) |
Urge symptoms | 0.09 | 4.44 (0.90–21.74) | 4.85 (0.91–25.94) | 0.10 | 2.48 (0.85–7.18) | 3.02 (0.84–10.90) |
Duration of operation | 0.41 | 0.98 (0.93–1.03) | 0.97 (0.91–1.03) | 0.22 | 1.05 (1.01–1.09) | 1.03 (0.98–1.09) |
Estimated average blood loss | < 0.001 | 0.96 (0.95–0.98) | 0.96 (0.94–0.98) | < 0.001 | 0.96 (0.94–0.97) | 0.96 (0.94–0.98) |
Intraoperative bladder injuryb | 1.00 | 1.02 (0.98–1.05) | n.m.b | 0.33 | 1.02 (0.99–1.05) | n.m.b |
Blood transfusion | n.mb | n.mb | n.m.b | 1.00 | 0.99 (0.98–1.01) | n.m.b |
Reoperationb | 0.15 | 0.36 (0.11–1.21) | 0.22 (0.04–1.10) | < 0.001 | 0.15 (005–0.43) | 0.07 (0.02–0.32) |
POP | 0.44 | 0.38 (0.07–2.04) | 0.26 (0.04–1.96) | < 0.001 | 0.10 (0.02–0.43) | 0.05 (0.006–0.41) |
SUI | 1.00 | 1.00 (0.06–16.39) | 0.19 (0.01–5.7) | 0.06 | 0.17 (0.02–1.34) | 0.11 (0.06–0.89) |
Vaginal wall extrusion | 0.11 | 0.15 (0.02–1.31) | 0.13 (0.009–1.71) | n.m | n.m.b | n.m.b |
Bleeding | 0.24 | 0.95 (0.90–1.01) | n.m.b | 1.00 | 0.99 (0.98–1.01) | 0.89 (0.68–1.12) |
Postoperative pain | 1.00 | 1.02 (0.98–1.05) | n.m.b | 0.33 | 1.02 (0.99–1.05) | n.m.b |
Total retention | 1.00 | 0.98 (0.95–1.02) | n.m.b | 1.00 | 0.99 (0.98–1.01) | n.m.b |
Successful treatment of POP–Q | 0.27 | 3.22 (0.62–16.67) | 2.94 (0.47–18.6) | < 0001 | 16.5 (3.85–70.77) | 14.16 (3.09–65.00) |
Successful treatment of SUI | 0.004 | 9.58 (2.09–43.9) | 72.2 (8.56–606.65) | < 0.001 | 18.95 (4.43–81.13) | 96.2 (7.40–1250.0) |
Urinary tract infection | 0.66 | 0.74 (0.31–1.79) | 0.70 (0.26–1.87) | 1.00 | 1.95 (0.43–2.19) | 0.92 (0.34–2.45) |
De novo urge symptoms | 1.00 | 0.86 (0.29–2.53) | 0.89 (0.25–3.22) | < 0.001 | 1.13 (1.03–1.23) | 1.10 (1.06–1.19) |
Average time to extrusion observed | 0.99 | n.m.b | n.m.b | n.m.b | n.m.b | n.m.b |