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Prediction of successful voiding immediately after outpatient mid-urethral sling

Barron, Kenneth I.
Savageau, Judith A.
Young, Stephen B.
Labin, Lisa C.
Morse, Abraham N.
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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.

Source

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

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DOI
10.1007/s00192-005-0064-8
PubMed ID
16583182
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Notes

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

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