Prediction of successful voiding immediately after outpatient mid-urethral sling
Department of Family Medicine and Community Health; Department of Obstetrics and Gynecology; Senior Scholars Program
Adult; Aged; Aged, 80 and over; Ambulatory Surgical Procedures; Female; Humans; Middle Aged; *Prostheses and Implants; *Recovery of Function; Risk Factors; Treatment Outcome; Urinary Incontinence, Stress; Urinary Retention; *Urination; Urodynamics; Urologic Surgical Procedures, Male
Obstetrics and Gynecology | Urology
We set out to identify predictors of successful voiding immediately after outpatient mid-urethral sling. The charts of 126 patients who underwent an outpatient mid-urethral sling procedure were identified. Using discharge without a urinary catheter as the dependent variable, logistic regression analysis modeled the relationship of independent variables including demographic, preoperative urodynamic, and perioperative variables. Sixty-one percent of the patients passed their immediate postoperative voiding trial. Logistic regression analysis revealed that parity > or = 3, Valsalva leak point pressure > 60 cm H(2)O, and high preoperative anxiety remained independently associated with successful voiding. Identifying preoperative variables that are associated with successful voiding after mid-urethral sling may be useful in helping to accurately shape patient expectations and identify those most likely to benefit from preoperative teaching of self-catheterization.
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Citation: Int Urogynecol J Pelvic Floor Dysfunct. 2006 Nov;17(6):570-5. Epub 2006 Apr 1. Link to article on publisher's site
Barron, Kenneth I.; Savageau, Judith A.; Young, Stephen B.; Labin, Lisa C.; and Morse, Abraham N., "Prediction of successful voiding immediately after outpatient mid-urethral sling" (2006). Family Medicine and Community Health Publications and Presentations. 32.