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International Urogynecology Journal

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14-01-2022 | Stress Incontinence | Original Article

Predictors of postoperative complications from stress urinary incontinence procedures: a NSQIP database study

Authors: Marissa L. Bonus, Douglas Luchristt, Oluwateniola Brown, Sarah Collins, Kimberly Kenton, C. Emi Bretschneider

Published in: International Urogynecology Journal | Issue 8/2022

Abstract

Introduction and hypothesis

There are few studies examining patient risk factors for postoperative complications following midurethral sling (MUS) placement for stress urinary incontinence (SUI). The objective of this study was to describe 30-day postoperative complications after MUS using the National Surgical Quality Improvement Program database. Secondary objectives included rates of readmission and patient factors associated with postoperative complications and readmissions following MUS.

Methods

We identified 16,491 women who underwent MUS for SUI between 2014 and 2018. American Society of Anesthesia (ASA) classification, medical comorbidities, readmission, reoperation, and 30-day postoperative complications were extracted. Outcomes included the 30-day postoperative complications, readmission, and reoperations. Descriptive statistics, univariate analyses, and multivariate logistic regression were used.

Results

The majority of patients were white (66.9%) and had an ASA classification II (60.9%). Postoperative complications occurred in 4.2% of patients; 1.5% required readmission and 1.0% required reoperation. The most common complication was urinary tract infection (3.4%). Using multivariate logistic regression, older age, i.e., ≥80 years of age, was associated with increased odds of complication (aOR 1.77, 95%CI 1.14–2.72) and readmission (aOR 3.84, 95%CI 1.76–8.66). ASA class III and IV were associated with increased odds of complications (aOR 1.55, 95%CI 1.13–2.14, and aOR 3.06, 95% CI 1.48–5.86 respectively) and readmissions. Women of Asian, American Indian or Alaska Native, and Native Hawaiian or Pacific Islander descent (“other”) were associated with increased postoperative complications (aOR 1.51, 95%CI 1.07–2.07).

Conclusion

Postoperative complications following MUS are rare. Factors associated with complications following MUS for SUI include age, ASA class, and women of “other” race.

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Title: Predictors of postoperative complications from stress urinary incontinence procedures: a NSQIP database study
Authors: Marissa L. Bonus
Douglas Luchristt
Oluwateniola Brown
Sarah Collins
Kimberly Kenton
C. Emi Bretschneider
Publication date: 14-01-2022
Publisher: Springer International Publishing
Keywords: Stress Incontinence
Urinary Tract Infection
Published in: International Urogynecology Journal / Issue 8/2022
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-021-05047-8

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Predictors of postoperative complications from stress urinary incontinence procedures: a NSQIP database study

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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