Title

Prediction of successful voiding immediately after outpatient mid-urethral sling

UMMS Affiliation

Department of Family Medicine and Community Health; Department of Obstetrics and Gynecology; Senior Scholars Program

Date

11-2006

Document Type

Article

Subjects

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

Disciplines

Obstetrics and Gynecology | Urology

Abstract

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.

Rights and Permissions

Citation: Int Urogynecol J Pelvic Floor Dysfunct. 2006 Nov;17(6):570-5. Epub 2006 Apr 1. Link to article on publisher's site

Comments

Medical student Kenneth Barron participated in this study as part of the Senior Scholars research program.

Related Resources

Link to article in PubMed

PubMed ID

16583182