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The Effect Of Age On the Resolution Of Urge Incontinence Following Pubovaginal Sling Placement In Patients With Mixed Urinary Incontinence
Matthew G Kaag*, Vanessa L Elliott*, Deborah R Erickson, Carl Reese
Penn State University, Hershey, PA

Introduction: The autologous fascia pubovaginal sling continues to have utility as a treatment for stress urinary incontinence. Even with the growing popularity of synthetic sling systems, the placement of material under the urethra remains the principle behind stress urinary incontinence treatments. We sought to determine the impact of age on a patient’s urge-related symptoms following placement of a pubovaginal sling in individuals with mixed urinary incontinence.
Methods: We queried our database for patients with mixed urinary incontinence who underwent an autologous fascia pubovaginal sling. Thirty-six patients met the final criteria. Patients’ charts were reviewed to determine age at surgery and postoperative outcomes. Age data was evaluated using the Wilcoxan Rank Sum test for nonparametric distribution.
Results: Of 36 patients, 25 (69.44%) had persistent urge urinary incontinence following their sling procedure, while 11 individuals (30.56%) had resolution of their urge related incontinence. One patient of the 25 had worsening urge incontinence after surgery, while 3 of the 25 felt their urge incontinence improved. The median age of the total population was 58 years. The median age of the group with persistent urge incontinence was 64 years, while the median age of the patients with resolution of their symptoms was 52 years, a difference that is significant (p<0.05).
Conclusions: Approximately two-thirds of patients with mixed urinary incontinence will have persistence of their urge related incontinence following a fascial sling procedure. Based on this small study, younger patients are more likely to experience resolution of their urge incontinence following sling surgery.

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