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01-10-2010 | Original Article

Risk factors leading to midurethral sling revision: a multicenter case-control study

Authors: Stephanie Molden, Danielle Patterson, Megan Tarr, Tatiana Sanses, Jessica Bracken, Aimee Nguyen, Heide S. Harvie, Amanda White, Sarah A. Hammil, Miles Murphy, Rebecca G. Rogers

Published in: International Urogynecology Journal | Issue 10/2010

Abstract

Introduction and hypothesis

To determine risk factors for sling revision after midurethral sling (MUS) placement.

Methods

This multicenter case-control study included patients who underwent MUS placement and subsequent revision secondary to voiding dysfunction from January 1999–2007 from nine Urogynecology centers across the USA. Direct logistic regression analysis was used to determine which diagnostic variables predicted sling revision.

Results

Of the patients, 197 met the study criteria. Patient demographics, urodynamic findings, and operative differences did not increase the risk for sling revision. Risk factors for sling revision did include: pre-existing voiding symptoms (OR 2.76, 95% CI 1.32–5.79; p = 0.004) retropubic sling type (OR = 2.28, 95% CI 1.08–4.78; p = 0.04) and concurrent surgery (OR = 4.88, 95% CI 2.16–11.05; p < 0.001)

Conclusions

This study determined that pre-existing obstructive voiding symptoms, retropubic sling type, and concurrent surgery at the time of sling placement are risk factors for sling revision.

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Title: Risk factors leading to midurethral sling revision: a multicenter case-control study
Authors: Stephanie Molden
Danielle Patterson
Megan Tarr
Tatiana Sanses
Jessica Bracken
Aimee Nguyen
Heide S. Harvie
Amanda White
Sarah A. Hammil
Miles Murphy
Rebecca G. Rogers
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/s00192-010-1186-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk factors leading to midurethral sling revision: a multicenter case-control study

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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