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.
Citations
Student Authors
Faculty Advisor
Academic Program
Document Type
Publication Date
Keywords
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
Subject Area
Embargo Expiration Date
Link to Full Text
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
Year of Medical School at Time of Visit
Sponsors
Dates of Travel
DOI
Permanent Link to this Item
PubMed ID
Other Identifiers
Notes
Medical student Kenneth Barron participated in this study as part of the Senior Scholars research program.