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International Urogynecology Journal

Erschienen in:

01.06.2011 | Original Article

Predicting for postoperative incontinence following sling incision

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

Erschienen in: International Urogynecology Journal | Ausgabe 6/2011

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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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Titel: Predicting for postoperative incontinence following sling incision
verfasst von: Timothy Yoost
Ross Rames
Brett Lebed
Robin Bhavsar
Eric Rovner
Publikationsdatum: 01.06.2011
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 6/2011
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1339-2

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Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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