دورية أكاديمية
Assessment of Urinary Dysfunction After Midurethral Sling Placement: A Comparison of Two Voiding Trial Methods.
| العنوان: | Assessment of Urinary Dysfunction After Midurethral Sling Placement: A Comparison of Two Voiding Trial Methods. |
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| المؤلفون: | Leffelman A; Female Pelvic Medicine and Reconstructive Surgery (FPMRS), Division of Urogynecology, University of Chicago, Northshore University HealthSystem, Skokie, IL (Drs. Leffelman, Chill, Goldberg, and Rostaminia)., Chill HH; Female Pelvic Medicine and Reconstructive Surgery (FPMRS), Division of Urogynecology, University of Chicago, Northshore University HealthSystem, Skokie, IL (Drs. Leffelman, Chill, Goldberg, and Rostaminia); Department of Obstetrics and Gynecology, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel (Dr. Chill). Electronic address: henchill@gmail.com., Kar A; Department of Obstetrics and Gynecology, University of Chicago, Pritzker School of Medicine, Chicago, IL (Dr. Kar)., Gilani S; Department of Obstetrics and Gynecology, Advocate Illinois Masonic Medical Center, Chicago, IL (Dr. Gilani)., Chang C; NorthShore University HealthSystem Research Institute, Evanston, IL (Ms. Chang)., Goldberg RP; Female Pelvic Medicine and Reconstructive Surgery (FPMRS), Division of Urogynecology, University of Chicago, Northshore University HealthSystem, Skokie, IL (Drs. Leffelman, Chill, Goldberg, and Rostaminia)., Rostaminia G; Female Pelvic Medicine and Reconstructive Surgery (FPMRS), Division of Urogynecology, University of Chicago, Northshore University HealthSystem, Skokie, IL (Drs. Leffelman, Chill, Goldberg, and Rostaminia). |
| المصدر: | Journal of minimally invasive gynecology [J Minim Invasive Gynecol] 2024 Jun; Vol. 31 (6), pp. 533-540. Date of Electronic Publication: 2024 Apr 04. |
| نوع المنشور: | Journal Article; Comparative Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 101235322 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1553-4669 (Electronic) Linking ISSN: 15534650 NLM ISO Abbreviation: J Minim Invasive Gynecol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Philadelphia, PA : Elsevier, c2005- |
| مواضيع طبية MeSH: | Suburethral Slings* , Urinary Retention*/etiology , Urinary Incontinence, Stress*/surgery , Postoperative Complications*/etiology , Postoperative Complications*/epidemiology, Humans ; Female ; Retrospective Studies ; Middle Aged ; Aged ; Urinary Catheterization/methods ; Urination/physiology ; Adult |
| مستخلص: | Study Objective: Temporary urinary retention after midurethral sling (MUS) surgery requiring indwelling catheter or self-catheterization usage is common. Different methods for assessment of immediate postoperative urinary retention have been described. This study aimed to compare postoperative voiding trial (VT) success after active vs passive VT in women undergoing MUS surgery. Design: Comparative retrospective cohort study. Setting: Female pelvic medicine and reconstructive surgery practice at a university-affiliated tertiary medical center. Patients: Patients with stress urinary incontinence who underwent surgical treatment during the study period were eligible for inclusion. Excluded were patients younger than the age of 18 years, combined cases with other surgical services, planned laparotomy, and a history of urinary retention and patients for whom their VT was performed on postoperative day 1. The cohort was divided into 2 groups: (1) patients who underwent an active retrofill of their bladder using a Foley catheter and (2) patients who were allowed to have a spontaneous void. Interventions: None. Measurements and Main Results: A total of 285 patients met the inclusion criteria for the study. Of these subjects, 94 underwent an active VT and 191 underwent a passive VT. There were no statistically significant differences in immediate postoperative urinary retention (30.8% vs 29.3%; p = .79) or time from surgery end to VT (233.0 ± 167.6 minutes vs 203.1 ± 147.8 minutes; p = .13) between groups. Urinary retention, as defined by a failed VT, increased from 10% to 29.3% when MUS placement was accompanied by concomitant prolapse repair procedure. Multivariate logistic regression analysis revealed that undergoing a combined anterior and posterior colporrhaphy (odds ratio [OR], 5.13; p <.001) and undergoing an apical prolapse procedure (OR, 2.75; p = .004) were independently associated with immediate postoperative urinary retention whereas increased body mass index (OR, 0.89; p <.001) lowered likelihood of retention. Conclusion: The method used to assess immediate postoperative urinary retention did not affect VT success. Concomitant combined anterior and posterior colporrhaphy and apical suspension were correlated with greater likelihood of VT failure whereas increased body mass index decreased odds of retention. (Copyright © 2024 AAGL. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Active voiding trial; Midurethral sling; Passive voiding trial; Stress urinary incontinence; Urinary retention; Voiding trial |
| تواريخ الأحداث: | Date Created: 20240406 Date Completed: 20240607 Latest Revision: 20240607 |
| رمز التحديث: | 20240610 |
| DOI: | 10.1016/j.jmig.2024.04.003 |
| PMID: | 38582258 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1553-4669 |
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| DOI: | 10.1016/j.jmig.2024.04.003 |