Objective: The object was to evaluate clinical outcome of the midurethral sling procedures in the elderly compared with middle-aged women. Methods: A total of 266 women who underwent midurethral sling procedures with at least follow-up greater than 6 months were included in the study. Patients were divided as the elderly group (65 years old or older, n = 60) and the middle-aged group (45–64 years old, n = 206). Results: Although postoperative urge symptoms were more prevalent in the elderly group (25.0%) than in the middle-aged group (6.3%), there were no significant differences between the two groups for the rates of postoperative urge incontinence (p = 0.159). Stress incontinence was cured by 91.3% in the middle-aged group and 85.0% in the elderly group, respectively (p = 0.158). Conclusions: Age does not seem to be a significant risk factor for failure of midurethral sling procedures.

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