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International Urogynecology Journal

Published in:

01-06-2011 | Original Article

Predicting for postoperative incontinence following sling incision

Authors: Timothy Yoost, Ross Rames, Brett Lebed, Robin Bhavsar, Eric Rovner

Published in: International Urogynecology Journal | Issue 6/2011

Abstract

Introduction and hypothesis

Our objective was to assess preoperative risk factors for developing recurrent stress urinary incontinence (SUI) following transvaginal sling incision (TVSI) for bladder outlet obstruction (BOO).

Methods

We identified 101 women who underwent TVSI and/or removal of a midurethral sling. Thirty-nine underwent TVSI for clinical and videourodynamic demonstrable BOO. Eighteen of 39 women demonstrated preoperative clinical SUI and urodynamic BOO. A comparative analysis was performed specifically looking at several clinical factors and the risk of the occurrence of postoperative SUI.

Results

Mean age, number of prior surgeries, parity, and pre- and postoperative PVRs did not predict for postoperative SUI. Nine of 18 (50%) of women with SUI and BOO preoperatively vs. only 2/21 (10%) of women with BOO alone developed postoperative SUI. This difference in the incidence of postoperative SUI was statistically significant (p < 0.01).

Conclusions

In patients with BOO, the presence of preoperative clinical SUI is a predictor for postoperative SUI following TVSI.

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Title: Predicting for postoperative incontinence following sling incision
Authors: Timothy Yoost
Ross Rames
Brett Lebed
Robin Bhavsar
Eric Rovner
Publication date: 01-06-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 6/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1339-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Predicting for postoperative incontinence following sling incision

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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