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International Urogynecology Journal

Published in:

01-10-2010 | Original Article

Preoperative Valsalva voiding increases the risk of urinary retention after midurethral sling placement

Authors: Khanh N. Pham, Nicole Topp, Michael L. Guralnick, Sumana Koduri, Julianne R. Newcomer, Robert Corey O’Connor

Published in: International Urogynecology Journal | Issue 10/2010

Abstract

Introduction and hypothesis

A subset of neurologically normal females void by efficient Valsalva, not detrusor contraction. We determined the incidence of urinary retention following midurethral sling (MUS) placement in women that void by detrusor contraction versus Valsalva.

Methods

Review of patients undergoing MUS insertion between 2002 and 2009 for urodynamic stress incontinence was performed. Women with concomitant pelvic surgery, previous incontinence surgery, or preoperative incomplete bladder emptying were excluded. Patients were divided into two cohorts based on preoperative urodynamic findings—those that voided with a detrusor contraction >10 cm of water and those that voided by Valsalva.

Results

One hundred seven patients were available for analysis. The postoperative urinary retention rate was 22% and 5% in the Valsalva and non-Valsalva groups, respectively (p < 0.05). Mean retention duration was 3 weeks for each cohort (range 1–6).

Conclusions

Women voiding by Valsalva are at increased risk of urinary retention following MUS placement.

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Title: Preoperative Valsalva voiding increases the risk of urinary retention after midurethral sling placement
Authors: Khanh N. Pham
Nicole Topp
Michael L. Guralnick
Sumana Koduri
Julianne R. Newcomer
Robert Corey O’Connor
Publication date: 01-10-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 10/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1177-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Preoperative Valsalva voiding increases the risk of urinary retention after midurethral sling placement

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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